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Monroe Community Hospital

Open-data reference.

Monroe Community Hospital is a government - county facility in Rochester, NY with 566 certified beds and a 1-star overall CMS rating. The facility has 11 deficiency records on file. Total penalties: $216K.

435 East Henrietta Road, Rochester, NY 14620

Phone: 5857606500

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
335197
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
566
Residents
393
In Hospital
No
County
Monroe
Last Inspection
Dec 20, 2024

Staffing Data

RN Hours
0.47 (nat'l avg: 0.68)
LPN Hours
1.17
CNA Hours
2.52
Total Nursing Hours
4.16 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
42.6%
RN Turnover
43.6%

What the CMS Record Reveals About Monroe Community Hospital

Monroe Community Hospital operates 566 certified beds in Rochester, NY with approximately 393 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $216K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.16 total nursing hours per resident day (national average 3.89), with RN coverage at 0.47 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Monroe Community Hospital falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

J — Isolated - Jeopardy Oct 24, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2025

L — Widespread - Jeopardy Oct 24, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2025

G — Isolated - Actual harm Sep 12, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 11, 2025

D — Isolated - Minimal harm Dec 20, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Feb 18, 2025

E — Pattern - Minimal harm Dec 20, 2024 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 18, 2025

D — Isolated - Minimal harm Dec 20, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Feb 18, 2025

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2023

D — Isolated - Minimal harm May 1, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2023

D — Isolated - Minimal harm May 1, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2023

J — Isolated - Jeopardy Jul 15, 2021 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 3, 2021

D — Isolated - Minimal harm Jul 15, 2021 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 3, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 11.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.7% Yes

Penalty History 2 penalties totaling $216K

Date Type Amount
Sep 12, 2025 Fine $14K
Sep 12, 2025 Fine $203K

Frequently Asked Questions

What is the overall CMS rating for Monroe Community Hospital?
Monroe Community Hospital has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Monroe Community Hospital?
Monroe Community Hospital reports 4.16 total nursing hours per resident day (national average: 3.89). RN hours are 0.47 per resident day (national average: 0.68). Nursing staff turnover is 42.6%.
How many beds does Monroe Community Hospital have?
Monroe Community Hospital has 566 certified beds with approximately 393 residents. The facility is located at 435 East Henrietta Road, Rochester, NY 14620.
Does Monroe Community Hospital have any deficiencies on record?
Yes, Monroe Community Hospital has 11 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Monroe Community Hospital received any fines or penalties?
Yes, Monroe Community Hospital has received 2 penalties totaling $216K.
Who owns Monroe Community Hospital?
Monroe Community Hospital is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was Monroe Community Hospital last inspected?
The most recent health inspection for Monroe Community Hospital was on Dec 20, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Monroe Community Hospital?
Monroe Community Hospital is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial