Hearth Record

Crest Manor Living and Rehabilitation Center

A nursing home in Fairport, New York 14450

6745 Pittsford-Palmyra Road, Fairport, New York 14450. (585) 223-3633.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 24 citations in 4 months of the last 36. Last cited May 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

19 health citations at the latest inspection cycle

The New York average is 8.1.

Last standard inspection Oct 15, 2024.

Most serious in three years: actual harm (G), at a standard inspection on Oct 15, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

24 citations in 4 months of the last 36. Last cited May 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

24 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 24 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 13 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 15, 2026: complaint inspection2 citations
  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. From a complaint.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint.

Oct 15, 2024: standard inspection11 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. G: actual harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Honor the resident’s right to organize and participate in resident/family groups in the facility.

    Rule F0565. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

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

    Rule F0655. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

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

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

    Rule F0726. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 2, 2024.

  • Keep all essential equipment working safely.

    Rule F0908. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 9, 2024.

  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 9, 2024.

Oct 15, 2024: standard and complaint inspection6 citations
  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

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

    Rule F0697. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 2, 2024.

May 16, 2024: complaint inspection1 citation
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 12, 2024.

Jan 16, 2024: complaint inspection4 citations
  • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Rule F0800. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

  • 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.

    Rule F0836. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 1, 1976.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 80 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $41,360 in all.
  • No Medicare payment denials in the last three years.
  • 13 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Oct 15, 2024Fine$41,360

Who does the caring?

3.59 nurse hours per resident per day

The New York average is 3.69.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNew York average
Nurse hours per resident per day3.593.69
Of which registered nurses0.330.73
At weekends3.213.20
Nursing staff turnover76.8%40.3%
Registered nurse turnover80%39.6%
Administrators who left1Not given

Who owns it?

  • Cme Jm OPCO Holdings LLC owns 100% directly since Jun 23, 2023.
  • Ajb LLC runs it.
  • 18 owners or officers are people: Jennifer Farkas (owns 5% or more through other companies, 45%); Avrohom Josh Brown (owns 5% or more through other companies, 30%); Eliezer Gibber (owns 5% or more through other companies, 15%); Michael Lebovics (owns 5% or more through other companies, 10%); Michael Lebovics (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Farkas (additional disclosable party (controls, leases property to, or provides services to the home)); Avrohom Josh Brown (corporate officer); Avrohom Josh Brown (runs it (operational or managerial control)); Avrohom Josh Brown (additional disclosable party (controls, leases property to, or provides services to the home)); Eliezer Gibber (additional disclosable party (controls, leases property to, or provides services to the home)); Burnedette Roesch (managing employee (on the payroll)); Burnedette Roesch (runs it (operational or managerial control)); Burnedette Roesch (additional disclosable party (controls, leases property to, or provides services to the home)); Jerome A Krull (runs it (operational or managerial control)); Jerome A Krull (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Buslovich (managing employee (under contract)); Steven Buslovich (additional disclosable party (controls, leases property to, or provides services to the home)); Moshe Steinberg (additional disclosable party (controls, leases property to, or provides services to the home)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Cme Jm OPCO Holdings LLCOwns 5% or more directly100%Jun 23, 2023
Cme Jm Propco Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 9, 2024
Ajb LLCRuns it (operational or managerial control)Dec 9, 2024
Ajb LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 9, 2024
Bonadio & Co LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 9, 2024

How do residents fare?

  • CMS rates its quality measures 4 of 5 (New York average 3.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.9 miles, this one had the 1st most health citations at the latest inspection cycle (19; the middle value was 7).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Crest Manor Living and Rehabilitation Center This nursing home19
Aaron Manor Rehabilitation and Nursing Center1.35
Fairport Skilled Nursing and Rehab2.813
Highlands Living Center3.210
Penfield Place4.82
The Friendly Home5.97
Jewish Home of Rochester7.36
Blossom Health Care Center Inc.7.610
The Highlands at Brighton8.29
The Brightonian, Inc.8.30
Woodside Manor Nursing Home Inc.8.47
The Hurlbut8.95

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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