KIRKHAVEN

📍 254 ALEXANDER STREET, rochester, NY 14607 📞 5854611991 🛏️ 147 beds

Overall Rating

⭐⭐
2/5

Health Inspection

1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

32
Total Violations
5 years of data
$26,002
Total Fines
2 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 6 violations

Tag 0561 D Mar 16, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Tag 0600 D Mar 16, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0610 D Mar 16, 2023

Respond appropriately to all alleged violations.

Tag 0698 E Mar 16, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Tag 0760 D Mar 16, 2023

Ensure that residents are free from significant medication errors.

Tag 0812 E Mar 16, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2021 2 violations

Tag 0695 D Apr 2, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 1, 2021
Tag 0698 D Apr 2, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 1, 2021

2019 7 violations

Tag 0655 D Mar 5, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 4, 2019
Tag 0657 D Mar 5, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 4, 2019
Tag 0689 D Mar 5, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 4, 2019
Tag 0758 D Mar 5, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: May 4, 2019
Tag 0760 E Mar 5, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: May 4, 2019
Tag 0880 F Mar 5, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2019
Tag 0881 D Mar 5, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: May 4, 2019

2017 11 violations

Tag 0156 B Oct 30, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Nov 27, 2017
Tag 0246 D Oct 30, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 30, 2017
Tag 0253 E Oct 30, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Dec 30, 2017
Tag 0278 D Oct 30, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Dec 30, 2017
Tag 0279 D Oct 30, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 30, 2017
Tag 0282 E Oct 30, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Dec 30, 2017
Tag 0312 D Oct 30, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Dec 30, 2017
Tag 0318 D Oct 30, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Dec 30, 2017
Tag 0371 D Oct 30, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Dec 30, 2017
Tag 0412 E Oct 30, 2017

Provide or obtain dental services for each resident.

✓ Corrected: Dec 30, 2017
Tag 0441 D Oct 30, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Dec 30, 2017

2016 6 violations

Tag 0282 D Aug 10, 2016

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Oct 9, 2016
Tag 0318 D Aug 10, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Oct 9, 2016
Tag 0329 D Aug 10, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Oct 9, 2016
Tag 0431 E Aug 10, 2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Oct 9, 2016
Tag 0441 F Aug 10, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 9, 2016
Tag 0514 D Aug 10, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 9, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $658

$658
Fine
January 31, 2022
Average: $658 | Range: $658 - $658

2019 1 penalties totaling $25,344

$25,344
Fine
March 5, 2019
Average: $25,344 | Range: $25,344 - $25,344

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 16, 2023
0.00

Health

April 2, 2021
0.00

Health

March 5, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
335668
335668
5854611991
Monroe

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual