Monroe County

Waterview Heights Rehabilitation and Nursing Cente

In Medicare’s Special Focus Facility program
Medicare rating
Rating withheld
12
findings of immediate jeopardy, the most serious kind
28%
less nursing care than its residents are expected to need, against a research benchmark
$960,884
in federal fines recorded since 2024

Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.

135 Meridan St., Rochester, NY 14612 · (585) 663-0930
229 beds · about 190 residents on a typical day · for-profit partnership

Staffing

All nursing staff, per resident, per day
3 hours 30 minutes

Residents here are expected to need about 4 hours 50 minutes, given how sick they are. This home reports 28% less. The average New York home reports 3 hours 37 minutes.

Registered nurses only
34 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 9 minutes of their time. This home reports 51% less.

Nursing staff who left in the past year
67%

67% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average New York home reports 40%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

Medicare attached a note to this home’s staffing figure, numbered 18. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 86 findings on record going back to 2024, 26 of them after someone filed a complaint.

The 24 serious findings here

Actual harm December 22, 2025

Rules on taking own medication

The home did not follow the rules for deciding whether a resident could safely take their own medication.

The home fixed this on April 22, 2026.

Medicare’s wording

Federal tag F554Allow residents to self-administer drugs if determined clinically appropriate.

Immediate jeopardy December 22, 2025

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy December 22, 2025

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm December 22, 2025

Outside services not arranged

The home did not hire a qualified person for a service residents needed, or arrange it from outside.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Actual harm December 22, 2025

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm December 22, 2025

Poor quality of life

The home did not provide the care and services residents needed to live as well as they could.

The home fixed this on February 20, 2026.

Medicare’s wording

Federal tag F675Honor each resident's preferences, choices, values and beliefs.

Actual harm December 22, 2025

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on April 22, 2026.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm December 22, 2025

No help eating or washing

The home did not give a resident who could not manage alone the help they needed with everyday care such as eating, washing, grooming and mouth care.

The home fixed this on April 22, 2026.

Medicare’s wording

Federal tag F677Provide care and assistance to perform activities of daily living for any resident who is unable.

Immediate jeopardy May 9, 2025

Infection control

The home did not follow proper practices to stop infections from spreading.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F880Provide and implement an infection prevention and control program.

Actual harm May 9, 2025

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy May 9, 2025

Poor quality of life

The home did not provide the care and services residents needed to live as well as they could.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F675Honor each resident's preferences, choices, values and beliefs.

Actual harm May 9, 2025

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on August 4, 2025.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm May 9, 2025 From a complaint

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy May 9, 2025

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy May 9, 2025 From a complaint

Not enough staff

The home did not have enough nursing staff to care for its residents.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Immediate jeopardy May 9, 2025

Medication errors

The home did not keep a resident free of a significant medication error.

The home fixed this on June 30, 2025.

Medicare’s wording

Federal tag F760Ensure that residents are free from significant medication errors.

Actual harm September 17, 2024

Not enough staff

The home did not have enough nursing staff to care for its residents.

The home fixed this on November 15, 2024.

Medicare’s wording

Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Immediate jeopardy September 17, 2024 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on November 15, 2024.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy September 17, 2024 From a complaint

Medication errors

The home did not keep a resident free of a significant medication error.

The home fixed this on January 13, 2025.

Medicare’s wording

Federal tag F760Ensure that residents are free from significant medication errors.

Actual harm September 17, 2024 From a complaint

Rights not honored

The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.

The home fixed this on November 15, 2024.

This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.

Medicare’s wording

Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Immediate jeopardy September 17, 2024

Medicines not locked or labeled

The home did not label medications properly, or did not keep them locked away as required.

The home fixed this on November 15, 2024.

Medicare’s wording

Federal tag F761Ensure 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.

Immediate jeopardy September 17, 2024

Leadership duties not met

The home did not have a governing body setting the rules for running it, or did not appoint a properly licensed administrator.

The home fixed this on November 15, 2024.

Medicare’s wording

Federal tag F837Establish 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.

Immediate jeopardy September 17, 2024

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on January 13, 2025.

This home is challenging this finding through Medicare’s informal dispute resolution process. The finding stands on the record unless that challenge succeeds.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm September 17, 2024 From a complaint

No help eating or washing

The home did not give a resident who could not manage alone the help they needed with everyday care such as eating, washing, grooming and mouth care.

The home fixed this on November 15, 2024.

Medicare’s wording

Federal tag F677Provide care and assistance to perform activities of daily living for any resident who is unable.

Everything on record

Immediate jeopardy 12 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 12 A resident was hurt
Potential for harm 58 Could have caused harm. No one was hurt. The most common kind.
No harm4Rule was broken but no resident was put at risk. Usually paperwork or procedure.

592 of the 593 nursing homes in New York have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 102 days, starting February 14, 2026.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 2 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 335082.

Medicare’s provider file allows 50 characters for a home’s name, and this one reaches that limit, so the name above may be cut short of the full legal name.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.