32 Nursing Homes That Accept Medicaid in Monroe County, New York
32 of the 32 Medicare-certified nursing homes in Monroe County, New York (100%) are Medicaid-certified, and all are listed below. 8 of the 32 graded homes earn an A and 2 earn a D or F. They average 3.89 nursing hours per resident per day, the same as the 3.89 for every home in Monroe County, New York. Jewish Home Of Rochester in Rochester grades highest at A (94 out of 100).
How Medicaid-certified homes in Monroe County, New York compare
This group set against every nursing home in Monroe County, New York, from the current CMS release.
Nursing hours per resident per day
3.89
All homes in Monroe County, New York: 3.89
Better than the local average
Nurse staff turnover
53%
All homes in Monroe County, New York: 53%
Better than the local average
Average ElderGrade score
74.8/100
All homes in Monroe County, New York: 74.8/100
Better than the local average
Grade spread
A
B
C
8 grade A, 13 grade B, 9 grade C, 2 grade D,
The best-graded Medicaid-certified home in Monroe County, New York is
Jewish Home Of Rochester
in Rochester, NY, grade A, 94/100.
Every Medicaid-certified nursing home in Monroe County, New York
Latta Road Nursing Home West is a small for-profit home in Rochester, just 40 certified beds, and its inspection record is genuinely clean. Four deficiencies on the current record, none at the harm or jeopardy level, no abuse findings, and a January 2025 inspection that's still recent. The trouble sits on the staffing side. Total nurse hours come in around 9% under the national average, weekends run roughly 13% thinner than weekdays, and annual turnover of 62.2% means most of the people caring for your family member are relatively new and may not stay. A strong inspection history tells you the home has been operating safely; the staffing numbers tell you how much attention each resident can realistically get on a Sunday afternoon.
Monroe Community Hospital is a county-run home with 566 beds, and its numbers tell two different stories. The clinical quality measures look good, four stars there, but the inspection record is where things fall apart: 11 deficiencies, four of them serious enough to put residents in harm's way, and two tied to abuse. Fines total nearly $95,000. Staffing sits just barely above the national average, and weekends run about 17% thinner than weekdays, which matters when you're thinking about who's actually on the floor on a Saturday. Turnover, at 45.3%, is roughly in line with the national rate. The last full inspection was in December 2024.
Kirkhaven is a 147-bed nonprofit home in Rochester, and the staffing numbers are the first thing I'd want you to see. CMS gives it one star for staffing and one star for health inspections, which tells you the day-to-day coverage and the survey record have both been weak. The current inspection history lists 30 deficiencies, including three tied to abuse and one serious enough to reach harm or jeopardy. That's a lot of findings for a single building, and the last full inspection was in December 2024, so this isn't stale history. Fines total $8,278, a modest figure that suggests regulators cited problems without stacking major penalties. The quality measure score sits at three stars, but strong resident outcomes don't mean much if there aren't enough hands on the floor and the survey record keeps flagging safety.
Lilac Manor runs 200 certified beds in Rochester under individual for-profit ownership, and its staffing picture is thinner than most: 3.49 nurse hours per resident day against a national average of 3.86, with weekends about 15% below its own weekday level. That gap matters because staff turnover sits at 70%, well above the 45.8% national figure, so the people covering those thinner weekend shifts are often new. The current inspection record shows 37 deficiencies, three tied to abuse, though none at the harm or jeopardy level; the last full inspection was June 2024. CMS rates its health inspection results at 1 out of 5 stars, which is where the trouble concentrates, not in the quality measures.
The Brook at High Falls runs 28 certified beds in Rochester under individual for-profit ownership, and its staffing tells a complicated story. Total nurse coverage sits at 3.81 hours per resident day, just under the national average, but weekends drop about 9% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 76.2% annually against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its last inspection was January 2026, with 24 deficiencies on record, none at harm or jeopardy level, none abuse-related. Quality measures score well above its inspection and staffing marks.
Highlands Living Center is a 122-bed nonprofit in Pittsford, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. Annual turnover of 60.3% is well above the 45.8% norm, meaning the people caring for residents change often.
The current record shows 19 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on February 19, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, landed at 2 out of 5. Ask about weekend coverage and how they screen and supervise staff.
Elderwood Of Lakeside At Brockport runs about 2.69 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekend coverage drops about 19% below what the home staffs on weekdays. Turnover sits at 68.5% against a national 45.8%, which means most of the aides and nurses around your relative are relatively new. The good news: the state's last inspection was in April 2025, and the home carries just seven deficiencies with none at the harm level and none abuse-related. So the care problems here aren't neglect or safety citations, they're thin coverage, especially on weekends, which is worth asking about directly.
Latta Road Nursing Home East runs a 40-bed operation in Rochester, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average, and weekends dip roughly 8% below what the home itself manages on weekdays, meaning coverage thins out right when families tend to visit. Staff turnover lands at 45.7%, essentially matching the national rate, so that's not the outlier here. What stands out more is the inspection record: 17 deficiencies currently on file, including one at the harm or jeopardy level and two tied to abuse, along with a single fine of $8,979. The last inspection was in April 2025, so the picture is reasonably current rather than stale.
Nurse staffing at Rochester Center runs 3.27 hours per resident day, roughly 15 percent under the national average, and weekends dip about 18 percent below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.1 percent against a national average of 45.8 percent, meaning more than half the nursing team leaves within a year. On the inspection side, the record shows 30 deficiencies, two of them harm-level and one abuse-related, with a $9,315 fine and a January 2025 inspection. This is a for-profit LLC, and the low staffing and inspection ratings line up with the turnover.
Crest Manor runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 8% below its own weekdays. That's the number families feel when a call light goes unanswered.
Turnover is the bigger warning sign. At 76.9%, more than three-quarters of the nursing staff left within a year, well above the 45.8% national rate. Combine that churn with a 1-out-of-5 inspection rating and 35 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, and the pattern is consistent. A single $41,360 fine and an inspection dated October 2024 complete the picture.
The quality measure score of 4 out of 5 stands out against everything else, but those measures reflect a narrow slice of care. For-profit, limited liability ownership.
Waterview Heights runs 229 beds in Rochester under for-profit partnership ownership, and the numbers here deserve real attention. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the hours when families visit aren't the hours when coverage is strongest. Staff turnover hits 67% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
The record shows 86 deficiencies, 24 of them at harm or jeopardy level, with four tied to abuse. CMS has fined the home three times for $804,844 total and placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes.
Blossom Health Care Center runs on 3.42 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 21% below what the home staffs on weekdays. That thin coverage shows up in the numbers: 67.9% annual turnover, well above the 45.8% national rate, so the aides and nurses at the bedside keep changing. Inspectors cited 36 deficiencies on the current record, four tied to abuse, though none rose to actual harm or jeopardy. The last visit was October 2024. With 80 beds and corporate for-profit ownership, this is a home where you should ask directly how they cover weekends and how long their current staff have actually been there.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Monroe County, New York?
There are 32 Medicaid-certified Medicare-certified nursing homes in Monroe County, New York, 100% of the 32 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Monroe County, New York they average 3.89 total nursing hours per resident per day, against 3.89 for all nursing homes in Monroe County, New York, a difference of +0 hours. Staff turnover averages 53% against 53%.
Which Medicaid-certified nursing home grades best in Monroe County, New York?