See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Kirkhaven

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

254 Alexander Street, Park Avenue · Rochester, NY 14607147 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 89 Google reviews

5
4
3
2
1
Kirkhaven Nursing Home in Rochester, NY — Street View
Street View

Watch Kirkhaven

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 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 (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (15 vs median 6.0)
  • High staff turnover (57%)

Below average in NY · Critically understaffed (RN) · No penalties on record

Source: Medicare data

What this means for your family

Kirkhaven offers a clean environment and a strong activities program, making it potentially suitable for short-term rehab. However, families must be aware of consistent reports regarding severe understaffing and slow response times. We strongly recommend that you visit frequently and maintain active oversight of your loved one's daily care and medication schedule.

Google Reviews

Google Reviews

89 reviews on Google
Kirkhaven presents a polarized experience, with many families praising the facility's cleanliness, friendly staff, and effective rehabilitation services. However, a significant number of reviewers report critical issues regarding severe understaffing, slow response times to call bells, and lapses in medical care, including medication management and hygiene.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean8.0Activities9.0Meds2.0Memory4.0Comms4.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and compassionate frontline staff
  • Effective rehabilitation and therapy services
  • Active and engaging life enrichment programs

Concerns

  • Severe understaffing leading to long response times (mentioned by 8 reviewers)
  • Neglect of basic hygiene and wound care (mentioned by 4 reviewers)
  • Poor medication management and delays (mentioned by 3 reviewers)
  • Inadequate communication regarding resident health status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'20(5)'22(8)'24(32)'26(3)

Distribution · 95 analyzed

5
61
4
8
3
2
2
2
1
22
11 reviews posted between Jan 29, 2024Jan 31, 2024 · 11 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and residents receive timely assistance?
  • 3Given the importance of consistent care, how does your nursing team coordinate with families to ensure clear and proactive communication regarding a resident's health status?
  • 4I’ve read great things about your life enrichment programs; could you walk me through what a typical week of activities looks like for someone who enjoys staying socially active?
  • 5Regarding medication management and wound care, what oversight processes do you have in place to ensure that clinical protocols are followed consistently for every resident?
  • 6Since the facility has had some recent health inspection findings, what specific steps is the leadership team taking to address those areas and improve the overall quality of care?

Personalized based on this facility's data


Key Review Excerpts

The staff at Kirkhaven were professional, caring and qualified to care for patients with complex issues. The food was good, the room clean and homey and there were multiple daily recreation activities.

Long-term resident's family · 2023★★★★★

The care and compassion all the employees have for the residents is second to none. This is the best and only nursing home I would want anyone in my family to go to.

Long-term resident's family · 2024★★★★★

Although they have some very competent staff the attention to important details is lacking. Missteps are not infrequent. Under staffing is not infrequent. Long response time was not infrequent and in fact as long as 9 hours.

Resident · 2026☆☆☆☆
Source: 89 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
43%
Registered nurses for medical care
Total Nursing
3.24hrs
79%
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
33%
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

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
93.4%
NY
91.3%
Monroe
87.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
19.5%
NY
13.3%
Monroe
15.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
19.4%
NY
20.2%
Monroe
23.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
NY
13.8%
Monroe
16.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.6%
Mixed vs Avgs
Here
10.6%
US
12.1%
NY
18.9%
Monroe
9.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
15.5%
NY
13.8%
Monroe
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
81.8%
NY
77.0%
Monroe
74.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility56.2%
Worse than Avg
Here
56.2%
US
79.8%
NY
78.8%
Monroe
73.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Mixed vs Avgs
Here
1.4%
US
1.6%
NY
1.2%
Monroe
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
1penalties
Well above state avg (7.6)
13 complaint-triggered

Kirkhaven has serious ongoing problems, with families filing complaints that triggered recent investigations revealing uncorrected deficiencies in resident rights, care planning, and medication management. The most recent December 2025 complaint found violations in basic care, dignity, and drug safety that remain without correction plans. While the facility has historically addressed building and safety issues when cited, the pattern of family complaints about fundamental care quality and the facility's failure to develop correction plans for the most recent serious violations raise significant concerns about resident wellbeing.

Mar 18, 2026Complaint
6
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Dec 8, 2025Complaint
4
0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jul 16, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 9, 2024Routine
14
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0644Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Dec 9, 2024Complaint
2
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Mar 16, 2023Routine
11
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0029Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0901Minimal · WidespreadCorrected

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Federal Penalties

Fine

Dec 8, 2025

$8,278

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kirkhaven

Organization Type

nonprofit

Ownership & Management

Key personnel

Fornataro, LeticiaOfficer / DirectorMuthig, MarkOfficer / DirectorMaar, ScottOfficer / DirectorSchaller, ChristineOfficer / DirectorSchaller, ChristineManager
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.

Call