Lilac Manor Rehabilitation and Nursing Center
3 Upton Park, Rochester, NY 14607
Lilac Manor Rehabilitation and Nursing Center is a nursing home in Rochester, 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 rating1 of 5
- Last standard health inspectionJune 6, 2024 (2 years ago)
- Health citations since April 23, 202138 (New York average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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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.
Health inspection on August 13, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 has cited this home for F0677 3 times since 2021.
CMS update of July 29, 2026
Staffing
Total nurse staffing reported to CMS went from 3.9 to 3.5 hours per resident per day.
Health inspection on May 15, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0584 2 times since 2024.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on July 10, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new name for this home. It was WESLEY GARDENS CORPORATION.
Fire safety citation
CMS removed citation K0161 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0232 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0521 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0531 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0916 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0921 from the fire safety inspection on June 6, 2024.
Fire safety citation
CMS removed citation K0923 from the fire safety inspection on June 6, 2024.
Health inspection on August 20, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on October 15, 2025.
CMS has cited this home for F0580 3 times since 2021.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
September 6, 2024
Payment stoppedCMS stopped payment for new admissions from September 6, 2024, for 73 days.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on June 6, 2024
20 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 20 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 4, 2024.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on August 5, 2024.
CMS has cited this home for F0610 2 times since 2021.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on September 4, 2024.
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 September 4, 2024.
Citation F0835. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on September 4, 2024.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on September 4, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 5, 2024.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on September 4, 2024.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on August 5, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
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 September 4, 2024.
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 August 5, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 5, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 5, 2024.
CMS has cited this home for F0695 2 times since 2021.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on August 5, 2024.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on September 4, 2024.
Citation F0836. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 5, 2024.
Citation F0577. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS lists it as corrected on August 5, 2024.
Citation F0582. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on August 5, 2024.
Citation F0655. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on August 5, 2024.
Citation F0732. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on September 4, 2024.
CMS has cited this home for F0732 2 times since 2023.
Fire safety inspection on June 6, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0004. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on August 5, 2024.
Citation E0013. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on August 5, 2024.
Citation E0035. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on August 5, 2024.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on August 5, 2024.
Citation E0042. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Meet the requirements of an integrated health system.
CMS lists it as corrected on August 5, 2024.
Health inspection on February 8, 2023
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on April 9, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 9, 2023.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on April 9, 2023.
CMS has cited this home for F0756 2 times since 2021.
Citation F0568. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
CMS lists it as corrected on April 9, 2023.
Citation F0732. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on April 9, 2023.
Health inspection on April 23, 2021
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 22, 2021.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on June 22, 2021.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on June 22, 2021.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 22, 2021.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
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 June 22, 2021.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on June 22, 2021.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 22, 2021.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on June 22, 2021.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on June 23, 2021.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (585) 685-2525
- Last standard health inspection
- June 6, 2024 (2 years ago)
- Certified beds
- 200
- Residents per day, on average
- 122.6
- Ownership type
- For profit - Individual
- Legal business name
- Wesley Gardens Corporation
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the New York average (38 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- NUSSBAUM, YEHUDAOperational/managerial control · not applicable · since 01/01/2025
- WEILL, ELIEZEROperational/managerial control · not applicable · since 01/01/2025
Questions
When was Lilac Manor Rehabilitation and Nursing Center last inspected?
CMS lists June 6, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Lilac Manor Rehabilitation and Nursing Center have?
CMS lists 38 health citations since April 23, 2021. CMS also calls these deficiencies.
Has Lilac Manor Rehabilitation and Nursing Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lilac Manor Rehabilitation and Nursing Center?
Its CMS overall star rating is 1 of 5.
Is Lilac Manor Rehabilitation and Nursing Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.