Elderwood of Lakeside at Brockport
170 West Avenue, Brockport, NY 14420
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Follow this homeElderwood of Lakeside at Brockport is a nursing home in Brockport, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionApril 2, 2025 (1 year ago)
- Health citations since July 13, 20237 (New York average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of November 20, 2025
Health citation
CMS removed citation F0689 from the health inspection on January 8, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.3 to 2.8 hours per resident per day.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 2, 2025
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 4 citations
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 23, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 23, 2025.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on May 23, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 23, 2025.
Fire safety inspection on April 2, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 30, 2025.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on January 8, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 15, 2024.
CMS has cited this home for F0689 2 times since 2023.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 3.7 to 3.1 hours per resident per day.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on July 13, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 31, 2023.
Fire safety inspection on July 13, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 8, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 8, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (585) 395-6095
- Last standard health inspection
- April 2, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 107.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- 170 West Avenue Operating Company LLC
- Chain
- Elderwood
- Takes part in
- Medicare and Medicaid
Fewer health citations than the New York average (7 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- 170 WEST AVENUE OPERATING HOLDCO LLC5% or greater direct ownership interest · 100% · since 05/05/2016
- COLE, WARREN5% or greater indirect ownership interest · 50% · since 05/06/2016
- COLE, WARRENOperational/managerial control · not applicable · since 05/06/2016
- QUILLARD, PHILIPOperational/managerial control · not applicable · since 05/06/2016
- RUBIN, JEFFREYOperational/managerial control · not applicable · since 05/06/2016
Questions
When was Elderwood of Lakeside at Brockport last inspected?
CMS lists April 2, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Elderwood of Lakeside at Brockport have?
CMS lists 7 health citations since July 13, 2023. CMS also calls these deficiencies.
Has Elderwood of Lakeside at Brockport been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Elderwood of Lakeside at Brockport?
Its CMS overall star rating is 4 of 5.
Is Elderwood of Lakeside at Brockport a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.