WESLEY GARDENS CORPORATION

πŸ“ 3 UPTON PARK, rochester, NY 14607 πŸ“ž 5852412100 πŸ›οΈ 200 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

95
Total Violations
8 years of data
$153,614
Total Fines
15 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 20 violations

Tag 0577 B Jun 6, 2024

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Aug 5, 2024
Tag 0578 D Jun 6, 2024

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.

βœ“ Corrected: Aug 5, 2024
Tag 0582 B Jun 6, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Aug 5, 2024
Tag 0584 E Jun 6, 2024

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.

βœ“ Corrected: Aug 5, 2024
Tag 0602 D Jun 6, 2024

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Aug 5, 2024
Tag 0610 E Jun 6, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 5, 2024
Tag 0623 D Jun 6, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Aug 5, 2024
Tag 0655 B Jun 6, 2024

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

βœ“ Corrected: Aug 5, 2024
Tag 0677 D Jun 6, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 5, 2024
Tag 0685 D Jun 6, 2024

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Aug 5, 2024
Tag 0688 D Jun 6, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Aug 5, 2024
Tag 0695 D Jun 6, 2024

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

βœ“ Corrected: Aug 5, 2024
Tag 0697 D Jun 6, 2024

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Aug 5, 2024
Tag 0732 B Jun 6, 2024

Post nurse staffing information every day.

βœ“ Corrected: Aug 5, 2024
Tag 0740 D Jun 6, 2024

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Aug 5, 2024
Tag 0760 E Jun 6, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Aug 5, 2024
Tag 0761 E Jun 6, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Aug 5, 2024
Tag 0835 E Jun 6, 2024

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Aug 5, 2024
Tag 0836 D Jun 6, 2024

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

βœ“ Corrected: Aug 5, 2024
Tag 0908 E Jun 6, 2024

Keep all essential equipment working safely.

βœ“ Corrected: Aug 5, 2024

2023 6 violations

Tag 0568 B Feb 8, 2023

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Tag 0580 D Feb 8, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0657 D Feb 8, 2023

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

Tag 0677 D Feb 8, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 9, 2023
Tag 0732 B Feb 8, 2023

Post nurse staffing information every day.

Tag 0756 D Feb 8, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2022 3 violations

Tag 0610 D Nov 22, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 27, 2022
Tag 0692 D Mar 17, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Apr 30, 2022
Tag 0727 D Mar 17, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Apr 30, 2022

2021 10 violations

Tag 0578 K Sep 18, 2021

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.

βœ“ Corrected: Oct 29, 2021
Tag 0580 D Apr 23, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 22, 2021
Tag 0610 D Apr 23, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 22, 2021
Tag 0656 D Apr 23, 2021

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

βœ“ Corrected: Jun 22, 2021
Tag 0677 D Apr 23, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 22, 2021
Tag 0679 D Apr 23, 2021

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 22, 2021
Tag 0695 D Apr 23, 2021

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

βœ“ Corrected: Jun 22, 2021
Tag 0756 D Apr 23, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jun 22, 2021
Tag 0880 E Apr 23, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 22, 2021
Tag 0921 D Apr 23, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jun 22, 2021

2020 2 violations

Tag 0725 E Dec 29, 2020

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0886 F Nov 21, 2020

Perform COVID19 testing on residents and staff.

2019 25 violations

Tag 0558 D Aug 22, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Oct 1, 2019
Tag 0561 D Aug 22, 2019

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

βœ“ Corrected: Oct 1, 2019
Tag 0582 B Aug 22, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Oct 1, 2019
Tag 0584 E Aug 22, 2019

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.

βœ“ Corrected: Oct 1, 2019
Tag 0623 D Aug 22, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Oct 1, 2019
Tag 0625 B Aug 22, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Oct 1, 2019
Tag 0644 D Aug 22, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Oct 1, 2019
Tag 0656 D Aug 22, 2019

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

βœ“ Corrected: Oct 1, 2019
Tag 0677 D Aug 22, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Oct 1, 2019
Tag 0679 D Aug 22, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Oct 1, 2019
Tag 0688 D Aug 22, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Oct 29, 2019
Tag 0689 D Aug 22, 2019

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

βœ“ Corrected: Oct 29, 2019
Tag 0695 D Aug 22, 2019

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

βœ“ Corrected: Oct 1, 2019
Tag 0700 D Aug 22, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Oct 1, 2019
Tag 0725 E Aug 22, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 1, 2019
Tag 0742 G Aug 22, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Oct 1, 2019
Tag 0745 G Aug 22, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Oct 1, 2019
Tag 0759 D Aug 22, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Oct 1, 2019
Tag 0761 D Aug 22, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Oct 1, 2019
Tag 0825 D Aug 22, 2019

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Oct 1, 2019

2018 21 violations

Tag 0610 D Dec 27, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 15, 2019
Tag 0689 D Dec 27, 2018

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

βœ“ Corrected: Feb 15, 2019
Tag 0565 D May 21, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Jul 9, 2018
Tag 0583 D May 21, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jul 9, 2018
Tag 0610 D May 21, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 9, 2018
Tag 0655 D May 21, 2018

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

βœ“ Corrected: Aug 17, 2018
Tag 0656 E May 21, 2018

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

βœ“ Corrected: Aug 17, 2018
Tag 0657 E May 21, 2018

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

βœ“ Corrected: Jul 9, 2018
Tag 0676 D May 21, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Jul 9, 2018
Tag 0677 D May 21, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jul 9, 2018
Tag 0679 E May 21, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Jul 9, 2018
Tag 0686 D May 21, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 9, 2018
Tag 0689 E May 21, 2018

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

βœ“ Corrected: Aug 17, 2018
Tag 0695 E May 21, 2018

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

βœ“ Corrected: Aug 17, 2018
Tag 0725 F May 21, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jul 9, 2018
Tag 0726 D May 21, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Jul 9, 2018
Tag 0758 E May 21, 2018

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.

βœ“ Corrected: Jul 11, 2018
Tag 0760 D May 21, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 9, 2018
Tag 0761 D May 21, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jul 9, 2018
Tag 0791 D May 21, 2018

Provide or obtain dental services for each resident.

βœ“ Corrected: Jul 9, 2018

2017 8 violations

Tag 0225 D Mar 1, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: May 13, 2017
Tag 0253 D Mar 1, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: May 13, 2017
Tag 0279 D Mar 1, 2017

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

βœ“ Corrected: May 13, 2017
Tag 0312 D Mar 1, 2017

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

βœ“ Corrected: May 13, 2017
Tag 0314 E Mar 1, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: May 13, 2017
Tag 0323 D Mar 1, 2017

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

βœ“ Corrected: May 13, 2017
Tag 0412 D Mar 1, 2017

Provide or obtain dental services for each resident.

βœ“ Corrected: May 13, 2017
Tag 0441 D Mar 1, 2017

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

βœ“ Corrected: May 13, 2017

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 11 penalties totaling $64,877

$4,580
Fine
August 2, 2022
$4,545
Fine
August 2, 2022
$19,666
Fine
July 11, 2022
$11,625
Fine
July 11, 2022
$11,538
Fine
July 11, 2022
$2,982
Fine
March 28, 2022
$2,651
Fine
March 14, 2022
$2,320
Fine
March 7, 2022
$1,988
Fine
February 28, 2022
$1,657
Fine
February 21, 2022
$1,325
Fine
February 7, 2022
Average: $5,898 | Range: $1,325 - $19,666

2021 2 penalties totaling $10,733

$983
Fine
November 22, 2021
$9,750
Fine
April 23, 2021
Average: $5,367 | Range: $983 - $9,750

2020 1 penalties totaling $650

$650
Fine
November 23, 2020
Average: $650 | Range: $650 - $650

2019 1 penalties totaling $77,354

$77,354
Fine
August 2, 2019
Average: $77,354 | Range: $77,354 - $77,354

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 6, 2024
0.00

Health

February 8, 2023
0.00

Health

November 22, 2022
0.00

Health

March 17, 2022
0.00

Health

September 18, 2021
0.00

Health

April 23, 2021
0.00

Health

August 22, 2019
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
335488
335488
5852412100
Monroe

Historical Ownership Records

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