Nursing Home
Kirkhaven
Medicare Outcome Measures
- No Different than the National Rate
Potentially preventable hospital readmissions
10.49% (lower is better)
- No Different than the National Rate
Residents discharged back to the community
50.99% (higher is better)
- No Different than the National Rate
Infections acquired during the stay requiring hospitalization
6.63% (lower is better)
Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
0.2%
national median 0.9%
better than the national median
-
Long-stay residents experiencing falls with major injury
4.4%
national median 2.8%
worse than the national median
-
Short-stay residents who newly received an antipsychotic medication
1.6%
national median 1.0%
worse than the national median
-
Long-stay residents whose ability to walk independently worsened
7.8%
national median 12.5%
better than the national median
-
Long-stay residents with pressure ulcers
8.4%
national median 4.2%
worse than the national median
-
Long-stay residents who received an antipsychotic medication
22.0%
national median 13.4%
worse than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
CMS has not published staffing data for this facility.
Penalties & Enforcement
1 fine totaling $8,278 in the recent inspection window (most recent: December 8, 2025).
Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.
Ownership
- Ownership type
- Non profit - Corporation
Who owns this facility — 5 entries in CMS's ownership records expand ↓
- Fornataro, Leticia Individual
- Muthig, Mark Individual
- Maar, Scott Individual
- Schaller, Christine Individual
- Schaller, Christine Individual
From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.
Inspections & Fire Safety — 21 health (NY avg 8) · 5 fire (NY avg 5.6) · ⚠ 1 serious Details
30 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: March 18, 2026.
Most recent inspection cycle: 21 health deficiencies · NY average: 8 · National: 9.3
14 fire-safety deficiencies cited — most often smoke (6) and gas, vacuum, and electrical systems (3).
Most recent fire-safety inspection (2024-12-09): 5 deficiencies · NY average: 5.6 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How Kirkhaven compares nearby
Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.
Among the 9 nursing homes within 25 miles, Kirkhaven's overall star rating is 1★; the median among the 8 peers reporting it is 1★.
| Measure | This facility | Nearby median | Best nearby |
|---|---|---|---|
| Overall star rating reported by 8 of 8 nearby peers | 1★ | 1★ | 5★ |
| Health inspections reported by 8 of 8 nearby peers | 1★ | 1.5★ | 5★ |
| Staffing reported by 8 of 8 nearby peers | 1★ | 3★ | 4★ |
| Quality measures reported by 8 of 8 nearby peers | 3★ | 4★ | 4★ |
The comparison group
- Lilac Manor Rehabilitation and Nursing Center
- St. John's Health Care Corporation
- Monroe Community Hospital
- Church Home of the Protestant Episcopal Church
- The Brightonian, Inc
- Blossom Health Care Center Inc.
- St. Ann's Community
- The Pearl Nursing Center of Rochester
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work