Special Focus Facility Abuse citation flag

Overview

Address
135 Meridan St., Rochester, NY 14612
Phone
5856630930
Certified beds
229
Avg daily residents
190 (83% of beds filled)
Ownership
For-profit partnership
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1972-06-01
Setting
Urban
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.38 3.76 3.47 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.57 0.66 0.58 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.95 0.84 0.98
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.86 2.27 1.91
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.52
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.08

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.72
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
2.79
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
68.3%
annual
RN turnover
67.6%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.33
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-09 28 28 6 903 2 1,355
Cycle 2/3 (prior) 2024-09-17 47 18 34 1,080 2 1,620
Total weighted health score
1421.3
lower is better

Deficiencies (78)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
58 D/E/F Actual harm — potential for minor
6 G/H/I Actual harm
11 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-05-09 2025-06-30
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-05-09 2025-06-30
0584 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. E 2025-05-09 2025-08-04
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. I 2025-05-09 2025-06-30
0610 Respond appropriately to all alleged violations. D 2025-05-09 2025-06-30
0675 Honor each resident's preferences, choices, values and beliefs. L 2025-05-09 2025-06-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-05-09 2025-08-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2025-05-09 2025-06-30
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-05-09 2025-06-30
0760 Ensure that residents are free from significant medication errors. L 2025-05-09 2025-06-30
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-05-09 2025-06-30
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-05-09 2025-06-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-05-09 2025-08-04
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2025-05-09 2025-06-30
0836 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. E 2025-05-09 2025-06-30
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2025-05-09 2025-06-30
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-05-09 2025-06-30
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly E 2025-05-09 2025-06-30
0880 Provide and implement an infection prevention and control program. L 2025-05-09 2025-04-14
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. D 2025-05-09 2025-06-30
0914 Provide bedrooms that don't allow residents to see each other when privacy is needed. D 2025-05-09 2025-06-30
0917 Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. B 2025-05-09 2025-06-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-05-09 2025-06-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-05-09 2025-06-30
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-05-09 2025-06-30
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. L 2025-05-09 2025-06-30
0761 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. E 2025-05-09 2025-06-30
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2025-05-09 2025-06-30
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. F 2024-09-17 2024-11-15
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F 2024-09-17 2024-11-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-09-17 2024-11-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. K 2024-09-17 2025-01-13
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-09-17 2024-11-15
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2024-09-17 2025-01-13
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. I 2024-09-17 2024-11-15
0761 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. L 2024-09-17 2024-11-15
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2024-09-17 2024-11-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-09-17 2024-11-15
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. F 2024-09-17 2024-11-20
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. L 2024-09-17 2024-11-15
0880 Provide and implement an infection prevention and control program. E 2024-09-17 2024-11-15
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-09-17 2024-11-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. I 2024-09-17 2024-11-15
0584 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. F 2024-09-17 2024-11-15
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2024-09-17 2024-11-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-09-17 2024-11-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. H 2024-09-17 2024-11-15
0760 Ensure that residents are free from significant medication errors. K 2024-09-17 2025-01-13
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-25 2024-03-15
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-01-25 2024-03-15

Showing 50 most recent of 78. See the All Data CSV for the full list.

Penalties (4)

Fines issued
4
last 3 years
Total fines
$842,850
Date Type Fine amount
2023-05-25 Fine $38,006
2025-05-09 Fine $185,840
2025-12-22 Fine $304,450
2024-09-17 Fine $314,554

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.7% Medicaid 73.8% Other 16.5%

Operating performance

Operating Margin
-81.0%
Total Margin
-76.3%
Occupancy Rate
80.0%
Cost per Resident Day
$35

Revenue & costs

Net Patient Revenue
$11.1M
Total Costs
$2.3M
Net Income
-$8.7M

Balance sheet

Total Assets
$8.3M
Total Liabilities
$21.4M
Fund Balance
-$13.1M
Current Ratio
0.01

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: HURLBUT CARE

Chain ID
275
Facilities in chain
13
Legal business name
THE SHORE WINDS, LLC.
Chain-average star ratings (for peer context)
Overall
3.6
Health
3.8
Staffing
2.3
QM
3.1

Owner / manager organizations (1)

Organization Role Association
HURLBUT HEALTH CONSULTING, LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2020

Owner / manager individuals (4)

Name Role Association
HURLBUT, ROBERT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/21/2003
CURLETTA, MARK OPERATIONAL/MANAGERIAL CONTROL since 07/16/2021
CURLETTA, MARK CORPORATE OFFICER since 07/16/2021
CURLETTA, MARK W-2 MANAGING EMPLOYEE since 07/16/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $35 metrics.cost_per_resident_day
Cost Report Current Ratio 0.01 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 73.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.7% metrics.medicare_day_share
Cost Report Net Income ($) $-8,700,585 metrics.net_income
Cost Report Net Patient Revenue ($) $11,103,424 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -81.0% metrics.operating_margin
Cost Report Total Assets ($) $8,316,499 metrics.total_assets
Cost Report Total Costs ($) $2,318,327 metrics.total_costs
Cost Report Total Fund Balances ($) $-13,110,619 metrics.fund_balance
Cost Report Total Liabilities ($) $21,427,118 metrics.total_liabilities
Cost Report Total Margin (%) -76.3% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.97729 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.91146 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.58386 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.47261 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.78694 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 190.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.83509 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.26958 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65823 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.76289 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.31659 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.3 Chain Average Staffing Rating
Provider Information Chain ID 275 Chain ID
Provider Information Chain Name HURLBUT CARE Chain Name
Provider Information City/Town Rochester City/Town
Provider Information CMS Certification Number (CCN) 335082 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Monroe County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1972-06-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 43.2569 Latitude
Provider Information Legal Business Name THE SHORE WINDS, LLC. Legal Business Name
Provider Information Location 135 Meridan St.,Rochester,NY,14612 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -77.669 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 229 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 13 Number of Facilities in Chain
Provider Information Number of Fines 4 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.33302 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96761 Nursing Case-Mix Index Ratio
Provider Information Overall Rating Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Partnership Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 135 Meridan St. Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Waterview Heights Rehabilitation and Nursing Cente Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 370 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 903 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 452 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 28 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-09 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 1355 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 28 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 18 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-09-17 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 1080 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 540 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 34 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 1620 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 47 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.30735 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 67.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.52151 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.95247 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.86293 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08086 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.56903 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.38443 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State NY State
Provider Information Telephone Number 5856630930 Telephone Number
Provider Information Total Amount of Fines in Dollars 842850.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.71617 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 68.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 1421.25 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 14612 ZIP Code