The Pearl Nursing Center Of Rochester
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews, and record review conducted during an Abbreviated Survey (Intake ID: Complaint 2576858) conducted on 08/22/2025, it was determined for one (resident room [ROOM NUMBER]) of 72 resident rooms, the facility did not provide housekeeping and maintenance services necessary to maintain
a safe, clean, comfortable, and homelike environment. Specifically, there was mold and evidence of water leaks, wall, and floor damage in a resident bathroom. The findings are: Record review of the facility work order system from 05/01/2025 to 08/22/2025 revealed an entry for a ceiling tile that fell in the bathroom of resident room [ROOM NUMBER] on 07/02/2025 and was closed out on 07/03/2025. Additionally, there were entries for a clogged toilet in resident room [ROOM NUMBER] on 05/16/2025, 06/20/2025, and 08/14/2025. There were no other work order entries related to ceiling leaks in resident room [ROOM NUMBER] for this time period.During observations and interviews on 08/22/2025 at 1:30 PM, the ceiling tiles in the bathroom of resident room [ROOM NUMBER] (second floor two (2)-person occupied) were stained brown and spotted with a black material that appeared to be mold. Additionally in the bathroom, there was one (1) ceiling tile missing and there was an approximately one (1)-inch unsealed gap in the concrete slab separating the third floor (bathroom of resident room [ROOM NUMBER]) from the second floor. Further observations included the baseboard cove molding in the bathroom of room [ROOM NUMBER] was peeled off the wall exposing wall damage, there were multiple floor tiles that were missing or had come loose below the sink, and there was a strong odor of urine in the bathroom. During an
interview that time, the Acting Director of Maintenance stated they were not aware of leaks in this room, but sometimes toilets overflow, and it goes down to the room below. Resident #1 stated there was a ceiling leak
a few months ago. 10 NYCRR: 415.29, 415.29(i), 415.29(j)(1)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
The Pearl Nursing Center of Rochester in Rochester, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Rochester, 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 The Pearl Nursing Center of Rochester or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.