Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Rochester Manor

ROCHESTER, NH · 108 certified beds · Last Life Safety survey June 6, 2025

CMS Certification Number 305024 · first certified August 1972

Ownership

Operated by GENESIS HEALTHCARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NH

7 citations — more than 44% of the 73 certified nursing homes in NH. Compared within NH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten NH facilities have been surveyed. This facility’s last Life Safety survey was June 2025. Facilities in NH are typically surveyed 12–13 months after the last one (median 13), measured over 131 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Emergency preparedness

1 of the 7 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0039

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NH, and nationally. Surveyors differ markedly between states, so the NH figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	7
Median facility in NH	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 24, 2023	0
April 3, 2024	3
June 6, 2025	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2025-06-06
E-0039	Conduct testing and exercise requirements.	1	2025-06-06
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	1	2024-04-03
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2025-06-06
K-0712	Have simulated fire drills held at unexpected times.	1	2025-06-06
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	1	2024-04-03

What the citations cover

Citations by CMS category

Miscellaneous Deficiencies 2
Smoke Deficiencies 2
Emergency Preparedness Deficiencies 1
Egress Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Miscellaneous Deficiencies	2
Smoke Deficiencies	2
Emergency Preparedness Deficiencies	1
Egress Deficiencies	1
Gas, Vacuum, and Electrical Systems Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 6, 2025 — 4 citations

Citations issued on June 6, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (July 25, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (July 25, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 25, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 25, 2025)

April 3, 2024 — 3 citations

Citations issued on April 3, 2024
Tag	What the surveyor checks	Status
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 17, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 17, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 17, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.