Nursing HomeInspections

Lilac Manor Rehabilitation and Nursing Center

Nursing home in Rochester, NY

Medicare & Medicaid certified1★ overall (CMS)

Call (585) 685-2525Send a messageMap ↗

Public-record details

Address
3 Upton Park, Rochester, NY 14607
Phone
(585) 685-2525
Listed under
For-profit
Medicare CCN
335488
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
200
Average residents per day
124
Ownership
For-profit, individual
Legal business name
Wesley Gardens Corporation
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335488. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 6, 2024. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 23, 2021 to May 15, 2026): 14 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 15, 2026Honor 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.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
May 15, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 20, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 6, 2024Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights
B
Potential for minimal harm, pattern
Jun 6, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
B
Potential for minimal harm, pattern
Jun 6, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection
B
Potential for minimal harm, pattern
Jun 6, 2024Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
B
Potential for minimal harm, pattern
Jun 6, 2024Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 6, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 6, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 6, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 6, 2024Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 6, 2024Payment denial for 73 days from Sep 6, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.49 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
2.00 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
75%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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