CMS data shows St Vincent Depaul Residence earning a D grade with a score of 45/100, placing it below most facilities in New York. Prospective residents and families should carefully review the specific areas of concern detailed below.
Recent inspections identified 22 deficiencies at St Vincent Depaul Residence. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
22
Total Deficiencies
Jan 7, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 21 Moderate
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 7, 2025 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 7, 2025 · Resident Rights Deficiencies
- Tag 0847 Severity EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Jan 7, 2025 · Administration Deficiencies
- Tag 0883 Severity EDevelop and implement policies and procedures for flu and pneumonia vaccinations.Jan 7, 2025 · Infection Control Deficiencies
- Tag 0582 Severity DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Jan 7, 2025 · 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 | 3.2% | 4.5% | Better |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 3.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.7% | 14.0% | Better |
| Excessive weight loss | 6.7% | 7.5% | Better |
| New/worsened incontinence | 23.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Ownership
Non profit - Corporation
Certified Beds
200
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 7, 2025
Deficiencies (Cycle 1)
9
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- D
- F
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- F
- FSt. John's Health Care CorporationRochester