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Nursing HomeMedicaid Investigative

Elm Manor Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

210 North Main Street, Canandaigua, NY 1442446 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 49 Google reviews

5
4
3
2
1
Elm Manor Nursing and Rehabilitation Center Nursing Home in Canandaigua, NY — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 6.0)
  • High staff turnover (84%)
  • High RN turnover (86%)

Bottom 25% in NY · Below recommended RN staffing · Very high staff turnover · No penalties on record

Source: Medicare data

What this means for your family

While recent facility upgrades show an attempt at improvement, the persistent reports of unresponsiveness and inadequate staffing are significant red flags. If you are considering this facility, we strongly recommend visiting in person to observe the environment and asking for a direct contact person for updates, as phone communication is a recurring failure point.

Google Reviews

Google Reviews

49 reviews on Google
Elm Manor Nursing and Rehabilitation Center receives overwhelmingly negative feedback regarding basic care, communication, and facility maintenance. While a few recent reviews praise facility upgrades and specific staff members, the majority of families report severe issues with understaffing, unresponsiveness to calls, and poor hygiene standards. Potential families should be aware of consistent reports regarding delayed assistance with toileting and difficulty reaching staff for updates on loved ones.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean2.0ActivitiesN/AMeds1.0Memory1.0Comms1.0Value1.0

Strengths

  • Professional and knowledgeable therapy staff
  • Recent facility upgrades and renovations
  • Select dedicated and attentive nursing aides

Concerns

  • Chronic understaffing leading to delayed resident care (mentioned by 9 reviewers)
  • Unresponsive communication (phones not answered, no call-backs) (mentioned by 6 reviewers)
  • Poor cleanliness and hygiene standards (mentioned by 6 reviewers)
  • Poor quality and unpalatable food (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(3)'20(2)'22(2)'24(12)'26(9)

Distribution · 48 analyzed

5
14
4
2
3
2
2
0
1
30

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1With the recent renovations completed, what specific steps have been taken to ensure that cleanliness and hygiene standards are consistently maintained throughout the facility?
  • 2I noticed the therapy team is highly regarded; how do they coordinate with the nursing staff to ensure those improvements carry over into a resident's daily routine?
  • 3Given the current staffing levels, what is your protocol for ensuring that residents receive timely assistance when they use their call lights?
  • 4Could you walk me through the process for family members to receive updates on a loved one's care, especially regarding how you ensure consistent communication?
  • 5What measures are in place to improve the quality and variety of the dining experience for residents who have specific nutritional needs or preferences?
  • 6How does your nursing team manage medication administration and medical emergencies during evening and weekend hours when staffing is at its lowest?

Personalized based on this facility's data


Key Review Excerpts

The resident floors have been fully upgraded, including new beds, furniture, and window treatments, which makes the building feel brighter, cleaner, and much more comfortable.

Family member · 2025★★★★★

My mother had to drive there on Saturday to give my Grandmother a bath herself. Because no one had bee

Grandchild · 2025☆☆☆☆

I’ve observed the staff here make tremendous efforts to keep residents clean, and comfortable.especially a long time aide named Jackie.

Current resident · 2024★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
2.77hrs
68%
All nurses + aides combined
Staff Turnover
85%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
12.1%
NY
18.9%
Ontario
8.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
19.5%
NY
13.3%
Ontario
11.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.4%
NY
20.2%
Ontario
24.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility82.1%
Worse than Avg
Here
82.1%
US
95.5%
NY
95.3%
Ontario
95.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
15.5%
NY
13.8%
Ontario
14.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.4%
Worse than Avg
Here
90.4%
US
93.4%
NY
91.3%
Ontario
96.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility40.6%
Worse than Avg
Here
40.6%
US
79.8%
NY
78.8%
Ontario
87.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.4%
Worse than Avg
Here
59.4%
US
81.8%
NY
77.0%
Ontario
82.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Worse than Avg
Here
1.5%
US
1.6%
NY
1.2%
Ontario
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (7.6)
3 complaint-triggered

Elm Manor has concerning patterns with 38 deficiencies across recent surveys, including families filing complaints about inadequate nursing staffing, improper resident transfers, and insufficient daily care assistance. The facility repeatedly struggles with safety hazards, medication management, and food service issues that persist across multiple inspections from 2020-2024. While all violations show correction dates, the recurring nature of safety and care problems suggests ongoing operational challenges that warrant careful consideration during any visit.

Aug 27, 2024Routine
8
0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Aug 27, 2024Complaint
3
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Oct 24, 2022Routine
20
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Nov 2, 2020Routine
7
0271Potential for harm · Pattern

Egress Deficiencies

Have exits that are accessible at all times.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Elm Manor Nursing and Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Grinspan, Aryeh

Owner

15%

Mayer, Abraham

Owner

10%

Mayer, Giorgio

Owner

75%

Licht, Tzvi

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rubin, Baila

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rubin, Shoshana

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Grinspan, AryehManaging Control - Governing BodyMackenzie, MartinManagerMensah, SethManagerOmega Business Services LLCAdp of the SnfRf Snf NY Holdco LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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