All 3 Medicare-certified nursing homes in Canandaigua,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
M.m. Ewing runs a tight ship on staffing. At 4.11 nurse hours per resident day, it sits about 6% above the national average, and its staff turnover of 33.1% is meaningfully lower than the 45.8% typical elsewhere, a sign people stick around. Weekend coverage dips roughly 12% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays.
The inspection record is clean where it matters most: nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse. The last full inspection was July 2023, so it's been a stretch since surveyors came through. Quality measure scores land at the top of the federal scale.
Elm Manor runs on thin staffing: 2.84 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 85.7%, nearly double the national rate, so the people providing that care are constantly changing. The health inspection record shows 35 deficiencies, none involving harm or abuse, but a one-star inspection rating still reflects repeated problems, most recently cited in August 2024. Quality measures score well, which may reflect good clinical tracking, but that doesn't offset what daily coverage looks like. For-profit corporate ownership and 46 beds mean limited margin for error when someone calls out. Ask how they cover weekend shifts.
Ontario Center runs on 3.02 nurse hours per resident per day, well under the 3.86 national average, and weekends drop about 22% below its own weekday staffing. That thin coverage sits alongside 80.6% annual turnover, meaning most of the people caring for residents weren't there a year ago. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections, and the record backs that up: 41 deficiencies, including three at the harm level and two tied to abuse, plus a $117,878 fine. One star on health inspections and one on staffing, with a state survey completed in January 2025.