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Nursing HomeMedicaid Investigative

Lilac Manor Rehabilitation and Nursing Center

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

3 Upton Park, East Avenue · Rochester, NY 14607200 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 67 Google reviews

5
4
3
2
1
Lilac Manor Rehabilitation and Nursing Center Nursing Home in Rochester, NY — Street View
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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 (1/5 stars)
  • Above-median deficiencies (21 vs median 6.0)
  • High staff turnover (70%)
  • High RN turnover (85%)

Bottom 25% in NY · Below recommended RN staffing · Above average staffing

Source: Medicare data

What this means for your family

This facility has a history of severe neglect and hygiene concerns that should be carefully investigated before admission. While some families report positive experiences with specific rehab staff, the consistent pattern of understaffing and poor communication suggests a high risk for families seeking reliable long-term care.

Google Reviews

Google Reviews

67 reviews on Google
Lilac Manor (operating as Wesley Gardens) receives overwhelmingly negative feedback from families, with frequent reports of severe neglect, poor hygiene, and chronic understaffing. While a small subset of reviewers praises individual staff members or the rehab department, the majority of accounts describe a facility struggling with basic care standards, communication failures, and a lack of responsiveness to resident needs.

Quality Themes

Tap a score for details
Food2.0Staff2.0Clean1.0Activities5.0Meds1.0Memory2.0Comms1.0ValueN/A

Strengths

  • Individual compassionate staff members
  • Effective physical and occupational therapy
  • Welcoming lobby and common areas

Concerns

  • Chronic understaffing and slow response to call bells (mentioned by 12 reviewers)
  • Poor cleanliness and unsanitary room conditions (mentioned by 9 reviewers)
  • Neglect of basic hygiene (bathing, toileting, changing) (mentioned by 8 reviewers)
  • Poor communication and unresponsiveness from management (mentioned by 6 reviewers)
  • Theft of personal belongings (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(6)'20(1)'22(6)'24(19)'26(2)

Distribution · 74 analyzed

5
23
4
7
3
3
2
1
1
40

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent feedback regarding response times to call bells, what specific protocols or technology do you have in place to ensure residents receive timely assistance?
  • 2I noticed concerns regarding room cleanliness and hygiene; could you walk me through your daily housekeeping schedule and how you monitor the quality of care for personal hygiene needs?
  • 3How does your management team approach communication with families, and what is the best way for us to get updates or address concerns regarding our loved one's care?
  • 4With the current staffing levels, how do you ensure that residents receive consistent attention and that their personal belongings are kept secure?
  • 5Could you describe the daily activity schedule for residents and how you tailor these programs to keep individuals engaged and socially connected?
  • 6How is medication management handled, and what safeguards are in place to ensure accuracy and timely administration for residents with complex health needs?

Personalized based on this facility's data


Key Review Excerpts

My mother was in the chair from 6am to to 10pm at night. I had to come and complete her care on my own, because the nurse and supervisor said, “We don’t have any CNA’s”

Family member · 2024☆☆☆☆

I am a retired CNA, turned private duty caregiver, hired by a family to be sure their loved one with dementia was cared for properly. Unless it was myself doing it, she was NOT.

Private duty caregiver · 2023☆☆☆☆

My sister was at Wesley Gardens and they resisted and delayed discharging her for 6 extra days at $500/day. Communication between staff is terrible. Different answers. Very short staffed.

Family member · 2022☆☆☆☆
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
81%
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
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility70.2%
Worse than Avg
Here
70.2%
US
93.4%
NY
91.3%
Monroe
86.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
12.1%
NY
18.9%
Monroe
9.7%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
15.3%
NY
13.8%
Monroe
16.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.5%
Worse than Avg
Here
32.5%
US
19.4%
NY
20.2%
Monroe
23.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
14.4%
NY
14.8%
Monroe
16.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.7%
Worse than Avg
Here
89.7%
US
95.5%
NY
95.3%
Monroe
93.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
81.8%
NY
77.0%
Monroe
74.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility45.8%
Worse than Avg
Here
45.8%
US
79.8%
NY
78.8%
Monroe
73.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
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

21deficiencies
1penalties
Well above state avg (7.6)
12 complaint-triggered

Families have filed complaint reports triggering multiple deficiencies, with 40 total violations across surveys indicating persistent problems. The facility shows recurring issues with medication management, resident rights (including failure to notify families of incidents), and daily care assistance. While all deficiencies appear corrected on paper, the pattern of repeated violations in core care areas suggests ongoing operational challenges that warrant careful evaluation during visits.

Aug 20, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jun 6, 2024Routine
14
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

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.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0035Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0042Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Meet the requirements of an integrated health system.

0577Minimal · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jun 6, 2024Complaint
11
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.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0836Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0655Minimal · 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

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Feb 8, 2023Routine
5
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0568Minimal · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Apr 23, 2021Routine
9
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Federal Penalties

Payment Denial

Jun 6, 2024

73-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lilac Manor Rehabilitation and Nursing Center

Organization Type

for profit

Ownership & Management

Key personnel

M&t Bank5% or Greater Mortgage InterestWeill, EliezerManaging Control - Governing BodyFaska, PinchasOfficer / DirectorGrinspan, AryehOfficer / DirectorKorn, EliOfficer / Director
Source: Medicare provider data

Contact

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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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