Edna Tina Wilson Living Center Inspection Report, Violations & Safety Grade (Rochester, New York)

700 Island Cottage Road, Rochester, New York 14612

Phone: 5853686100

CMS Overall:5/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

113.9

Ownership

Non profit - Corporation

Provider Type

Medicare and Medicaid

County

Monroe

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall5/5

Health5/5

Staffing4/5

Quality5/5

Metric	This Facility	New York Avg	Difference
RN Hours per Resident per Day	0.45	0.73	-0.28
Total Nurse Hours per Resident per Day	3.99	3.69	+0.31
CMS Staffing Rating	4/5	2.9/5	-
Nursing Staff Turnover	38.5%	40.3%	-

5 health citations on record

Date	Category	Description	Severity
2025-04-11	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-06-16	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2023-06-16	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2021-09-17	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2021-09-17	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential

8 fire safety citations on record

Date	Category	Description	Severity
2023-06-16	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-06-16	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2023-06-16	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2023-06-16	Emergency Preparedness Deficiencies	Develop a communication plan.	B – Minimal Harm Potential
2021-09-17	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2021-09-17	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2021-09-17	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2021-09-17	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	D – Moderate Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Our family advisors can help you find vetted, top-rated facilities in the Rochester area at no cost.

Advisor service is free for families. We may receive referral compensation.