F

Lilac Manor Rehabilitation and Nursing Center

3 Upton Park, Rochester, NY 14607
Score: 34 / 100

With a score of 34/100, Lilac Manor Rehabilitation And Nursing Center ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Lilac Manor Rehabilitation And Nursing Center is near the national average, with 3.94 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 35 deficiencies at Lilac Manor Rehabilitation And Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.94 3.8 Average
Registered Nurses (RN) 0.64 0.7 Average
Licensed Practical Nurses (LPN) 1.04 0.7 Above Average
Certified Nursing Assistants (CNA) 2.26 2.4 Average
Weekend Total Nursing 3.23 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

35
Total Deficiencies
Aug 19, 2025
Most Recent Inspection
⚪ 6 Minor 🟠 29 Moderate
View recent deficiencies (5 shown)
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Aug 19, 2025 · Resident Rights Deficiencies
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    Jun 5, 2024 · Pharmacy Service Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jun 5, 2024 · Pharmacy Service Deficiencies
  • Tag 0908 Severity E
    Keep all essential equipment working safely.
    Jun 5, 2024 · Environmental Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jun 5, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.0% 4.5% Worse
Falls with major injury 3.0% 3.0% Average
On antipsychotic medication 12.1% 14.5% Better
Urinary tract infections 0.2% 2.5% Better
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 8.6% 7.5% Worse
New/worsened incontinence 33.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
200
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 5, 2024
Deficiencies (Cycle 1)
21