Rochester Residence And Care Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm
Review of a Resident Representative concern dated 9/8/25, stated All silverware is plastic. No plates, Styrofoam container.
During a Group interview on 9/16/25, at 1:30 p.m. five out of five residents stated that they receive food on Styrofoam and plastic silverware on a regular basis.
Residents Affected - Many
During an Interview on 9/18/25, at 10:54 a.m. Dietary Manager Employee E22 stated that the facility has been experiencing a shortage of plates, bowls, plate warmers, and silverware since she started at the facility in August 2025.
During an interview on 9/18/25, at 2:30 a.m. the Nursing Home administrator confirmed that the facility failed to provide a dignified dining experience for three of six months by serving on disposable dinnerware. 28 Pa. Code: 211.10(d) Resident care policies.28 Pa. Code: 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rochester Residence and Care Center
174 Virginia Avenue Rochester, PA 15074
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0554
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0558
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0565
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0575
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0575 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
Debris was noted on the floor of two of three of the shower stalls.- Yellow discoloration was noted on all three of the shower stall floors.- Rust was noted on the ceiling of the shower stall located adjacent to the whirlpool tube room.- One of three shower stalls had visible peeling on the ceiling in two separate locations.
Peeling was noted around the light fixture in the ceiling and additional peeling reveal a small hole in the ceiling. Light could be seen coming from the floor above through the hole in the ceiling. - An open bottle of white distilled vinegar was noted on the floor of the main room of the shower room. The cap was sitting on
the floor next to the bottle. A piece of white tape had been placed on the bottle with handwriting that stated, Opened 4/4.During an interview on 9/15/25, at 1:54 p.m. the Nursing Home Administrator (NHA) confirmed that the facility failed to provide a clean, safe, homelike environment in room [ROOM NUMBER] and the Third Floor Shower Room.
Interview on 9/15/25, at 3:00 p.m. the NHA confirmed that the facility failed to accommodate the proper linen needs for two of two units (third and fourth floors) and provide a clean, safe, comfortable and homelike environment. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 211.10(d) Resident care policies.28 Pa.
Code: 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rochester Residence and Care Center
174 Virginia Avenue Rochester, PA 15074
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
was very nice. I don't want to report anyone, and I don't want to get anyone in trouble, but I don't want anyone to be treated the way I was treated.
Review of a witness statement dated 9/16/25, indicated Occupational Therapist (OT) Employee E8 stated, When therapist arrived initially, first time, NA Employee E4 just finished attending to resident [Resident Resident R32]. NA Employee E4 reported she just finished stripping resident's bed. Therapist seen resident later in morning. Resident asked therapist the CNA (Certified Nurse Aide) name who was present this morning stripping bed. Resident was upset how staff treated her this morning. Resident reported that she was never treated that way before. Therapist followed up with nursing manager.
Review of a witness statement dated 9/19/25, completed by NA Employee E4 stated, I did not say that to her. All I said to her was [NAME] you gotta be laying here freezing, why didn't you ring and let them know or ask for the bed pan she said she didn't know she could do that I told her that she is allowed to ring any time
she wants. As I was changing the bed OT Employee E8 came in the room to tell me she did an ADL (activities of daily living) on one of the residents. I had all the wet linens on the floor, and she asked me if
she wet the bed, I said yes and OT Employee E8 told her that she is capable of ringing for the bed pan.During an interview on 9/19/25, at 9:29 a.m. the Nursing Home Administrator confirmed that the facility failed to protect Resident Resident R32 from verbal abuse. 28 Pa. Code: 201.14(a) Responsibility of licensee28 Pa. Code: 201.18(b)(1) Management.28 Pa. Code: 211.10(d) Resident care policies.28 Pa. Code: 211.12(d)(1)(5) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rochester Residence and Care Center
174 Virginia Avenue Rochester, PA 15074
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0605
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-09-19.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0620
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0620 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0628
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0656
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0688
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0689
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0692
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0695
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0698
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-09-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0725
F 0725
LPN Employee E7 was the only nurse on the floor.
Level of Harm - Minimal harm or potential for actual harm
Interview on 9/17/25, at 12:00 p.m. fourth floor staff indicated they had four NA's on the floor and one NA was sitting one on one with a resident, which left only three for the floor. If they were to do the dining room for lunch it would only leave two NA's on the floor.
Residents Affected - Some
Interview on 9/17/25, at 12:15 p.m. LPN Employee E7 confirmed there were only four NA's on the floor.
Interview on 9/18/25, at 12:20 p.m. fourth floor staff indicated they had four NA's on the floor and one NA was sitting one on one with a resident, which left only three for the floor. If they were to do the dining room for lunch it would only leave two NA's on the floor.
Interview on 9/18/25, at 12:30 p.m. Registered Nurse (RN) Employee E10 confirmed there were only four NA's on the floor.
Interview on 9/18/25, at 1:30 p.m. the Director of Nursing confirmed that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being on four of five days (9/15/25, 9/16/25, 9/17/25, and 9/18/25). 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 201.18(b)(1)(e)(6) Management.28 Pa.
Code: 211.10(d) Resident care policies.28 Pa. Code: 211.12(d)(1)(4)(5)(f.1)(i) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rochester Residence and Care Center
174 Virginia Avenue Rochester, PA 15074
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-09-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0756
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0761
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0770
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0770 during a standard health inspection conducted on 2025-09-19.
Category: Administration Deficiencies
The facility was found deficient in the following area: Provide timely, quality laboratory services/tests to meet the needs of residents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0805
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0805 during a standard health inspection conducted on 2025-09-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0809
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0809 during a standard health inspection conducted on 2025-09-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0812
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0814
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-09-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm
-Registered Nurse (RN) Employee E33 tested positive on Saturday, 9/12/25, and didn't inform the facility until Sunday, 9/13/25 via email. -DON indicated RN Employee E33 was swabbed in the parking lot outside the facility on 9/13/25, and the positive test was confirmed.
Residents Affected - Many -DON indicated the facility did not conduct contact tracing or test any residents or staff who may have been exposed during the transmission time of RN Employee E33 last working day in the facility which was 9/11/25, who didn't feel well at work that day. -DON indicated the facility finally tested all residents on the third floor, where the exposure would have occurred from the positive nurse, on the 11:00 p.m. to 7:00 a.m. shift on 9/15/25, into early morning of 9/16/25.
Observation by Survey agency (SA) on 9/16/25, at 11:00 a.m. Resident Resident R72 was in the room with two staff members who had masks on. Nurse Aide (NA) Employee E4 indicated Resident Resident R72 had covid. The other staff member who was masked was unaware of the positive resident status. Neither staff member had eye protection in place at the time. SA was unaware of the positive Covid status prior to entering the room as there failed to be proper signage to alert staff/visitors of the precautions required. Resident Resident R72's roommates' privacy curtain was not pulled, and the roommate was not wearing any source control for protection from exposure from Resident Resident R72.
Interview on 9/16/25, at 1:00 p.m. the Director of Nursing confirmed the facility failed to implement an infection control program that included a system of surveillance to identify possible communicable diseases or infections, identify floor mapping for three of five months (July, August, and September 2025) and failed to implement Covid outbreak response timely for one of three residents (Resident Resident R72). 28 Pa. code: 201.14(a) Responsibility of licensee.28 Pa. Code: 201.18 (b)(1)(e)(1) Management.28 Pa.
Code: 211.10(a)(d) Resident care policies.28 Pa. Code: 211.12 (d)(1)(2)(5) Nursing services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0881
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-09-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Implement a program that monitors antibiotic use.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0883
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0921
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-09-19.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0941
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0941 during a standard health inspection conducted on 2025-09-19.
Category: Administration Deficiencies
The facility was found deficient in the following area: Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0942
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0942 during a standard health inspection conducted on 2025-09-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0943
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0943 during a standard health inspection conducted on 2025-09-19.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0944
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0944 during a standard health inspection conducted on 2025-09-19.
Category: Administration Deficiencies
The facility was found deficient in the following area: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0945
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0945 during a standard health inspection conducted on 2025-09-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0946
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0946 during a standard health inspection conducted on 2025-09-19.
Category: Administration Deficiencies
The facility was found deficient in the following area: Provide training in compliance and ethics.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0947
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-09-19.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
F-Tag F0949
Federal health inspectors cited ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA for a deficiency under regulatory tag F-F0949 during a standard health inspection conducted on 2025-09-19.
Category: Administration Deficiencies
The facility was found deficient in the following area: Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 37 deficiencies cited during this inspection of ROCHESTER RESIDENCE AND CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-30.
ROCHESTER RESIDENCE AND CARE CENTER in ROCHESTER, PA 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, PA, (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 ROCHESTER RESIDENCE AND CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.