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

The Friendly Home

Rochester, NY · 200 certified beds · Last Life Safety survey December 19, 2025

CMS Certification Number 335476 · first certified January 1976

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NY

7 citations — more than 17% of the 593 certified nursing homes in NY. Compared within NY 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was December 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 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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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

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

This facility7NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-0332023-1222025-12
Citations at each Life Safety survey
Survey dateCitations
March 2, 20222
December 26, 20233
December 19, 20252

Most-cited tags

Most-cited tags at this facility
K-03532K-03741K-09211K-03631K-02321K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-19
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12022-03-02
K-0921Ensure that testing and maintenance of electrical equipment is performed.12023-12-26
K-0363Install corridor and hallway doors that block smoke.12023-12-26
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12023-12-26
K-0923Have proper medical gas storage and administration areas.12025-12-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

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

December 19, 2025 — 2 citations

Citations issued on December 19, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 17, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 17, 2026)

December 26, 2023 — 3 citations

Citations issued on December 26, 2023
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (February 23, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 23, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 23, 2024)

March 2, 2022 — 2 citations

Citations issued on March 2, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 30, 2022)

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