The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
Penfield Place
Penfield, NY · Medicare-certified · 48 beds
In good standing
For-profitChain member
5 of 5 overall
5 of 5 stars overall. Penfield Place has 5-star health inspection and quality ratings, 4-star staffing, no fines in the last 24 months, and reported nurse staffing of 4.04 hours per resident per day, just below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0437 hrs/resident/day
Quality measures
Last inspection: January 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0437.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 1.09
- Nurse aides
- 2.45
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.1%9.1%Worsening
Residents with a fall causing major injury
5%4.8%No change
Residents with pressure ulcers (bedsores)
3.4%2.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.7%2.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.6%30.6%Worsening
Residents whose ability to walk got worse
—11.4%—
Long-stay residents on antianxiety or sleep medication
5.1%5.4%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31.1%32.5%Worsening
Residents with depressive symptoms
0%5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
88.7%71.1%Worsening
What the inspectors found
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited May 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The nursing home failed to keep medication mistakes below the allowed level. Cited May 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of HURLBUT CARE · 13 homes · 3.8 stars avg
- Occupancy
- 47.3 residents on an average day (99% of 48 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.