Skip to main content
Health Inspection

Fairport Rehabilitation And Nursing Center

May 13, 2025 · Fairport, NY · 4646 Fairport Nine Mile Point Road
Citations 1
CMS Rating 2/5
Beds 196
Provider ID 335576
Healthcare Facility
Fairport Rehabilitation And Nursing Center
Fairport, NY  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  29 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Fairport Rehabilitation and Nursing Center in Fairport, NY — inspection on May 13, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF868
Minimal harm or maintained the line lists (lists of residents with current infections) for outbreaks. Infection Prevention Nurse Many Infection Control reports to either the Administrator or the Director of Nursing and then they presented the affected

During the Entrance Conference on 05/05/2025 at 9:15 AM, the Administrator stated Infection Prevention Nurse #2 (a Licensed Practical Nurse) was a full-time employee who was the facility's Infection Preventionist.

The Administrator said that Infection Prevention Nurse #1 (a Registered Nurse) helps Infection Prevention Nurse #2 with the infection control data.

During interviews on 05/09/2025 at 7:59 AM and on 05/12/2025 at 3:12 PM, Licensed Practical Nurse/Infection Prevention Nurse #2 said they worked at the facility 40-48 hours as an evening/night supervisor and they work as the Infection Prevention Nurse remotely from home.

While they are not in the facility weekly as the Infection Prevention Nurse, they do address Infection Prevention issues when they are there (as evening/night supervisor).

Infection Prevention Nurse #2 said they did not participate in Quality Assurance and Performance Improvement meetings, and that Infection Prevention Nurse #1 would attend the meetings.

During an interview on 05/13/2025 at 9:31 AM, the Director of Nursing said Infection Prevention Nurse #2 was in the building approximately 40 hours (a week) and a significant amount of the time was as the evening/night nursing supervisor.

The Director of Nursing stated Infection Prevention Nurse #2 had several hours of down time on the night shift and would work on infection control, data, checking orders, and antibiotic related tasks.

The Director of Nursing said Infection Prevention Nurse #2 would probably spend at least 12 hours on infection control related responsibilities in house and sometimes they would approve work off-site (remote).

The Director of Nursing said Infection Prevention Nurse #1 worked on data entry and reports for infection control, so Infection Prevention Nurse #2 could focus on infection control by being out on the units.

335576

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 335576 B.

Wing 05/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Fairport Rehabilitation and Nursing Center 4646 Nine Mile Point Road Fairport, NY 14450

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Fairport, NY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Fairport Rehabilitation and Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.