Nursing homeActive

Church Home of the Protestant Episcopal Church

505 Mt. Hope Avenue, Rochester, NY 146205855468400182 certified beds · 138 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
12
0120
Penalties · 3 yrs
none on file
Last survey
2024-01-09
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · New York State Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2024-01-09Standard050CMS-2567 (Care Compare)
2022-03-11Standard040CMS-2567 (Care Compare)
2019-10-08Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · New York State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2024-01-09Standard survey · 5 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 335263-20240109-F607
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 335263-20240109-F677
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 335263-20240109-F697
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 335263-20240109-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 335263-20240109-F812
2022-03-11Standard survey · 4 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-05Record 335263-20220311-F552
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-05Record 335263-20220311-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-05Record 335263-20220311-F610
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-05Record 335263-20220311-F812
2019-10-08Standard survey · 3 deficienciesOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-01Record 335263-20191008-F610
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-01Record 335263-20191008-F637
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-01Record 335263-20191008-F693

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.47
Facility
New York
National
New York 0.71 · National 0.69
Total nurse hours per resident day4.23
Facility
New York
National
New York 3.62 · National 3.86
Weekend total nurse hours3.83
Facility
New York
National
New York 3.18 · National 3.42
Total nursing staff turnover39%
Facility
New York
National
New York 40% · National 46%
Registered nurse turnover25%
Facility
New York
National
New York 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNew YorkNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.3%6.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.8%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.7%13.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.5%1.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
27.8%14.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.0%5.8%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
6.6%13.2%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Episcopal Senior Life Communities, Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lovejoy, Megan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rab, Ahmed
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Berk, Mary
Individual
CORPORATE DIRECTORNOT APPLICABLE
Halloran, Michelle
Individual
ADP OF THE SNFNOT APPLICABLE
Halloran, Michelle
Individual
CORPORATE OFFICERNOT APPLICABLE
Lovejoy, Megan
Individual
ADP OF THE SNFNOT APPLICABLE
Marcello, Lisa
Individual
CORPORATE OFFICERNOT APPLICABLE
Rab, Ahmed
Individual
ADP OF THE SNFNOT APPLICABLE
Teugeman, Amanda
Individual
CORPORATE OFFICERNOT APPLICABLE
Thomsen, Jessica
Individual
ADP OF THE SNFNOT APPLICABLE
Thomsen, Jessica
Individual
CORPORATE OFFICERNOT APPLICABLE
Wendland, Melissa
Individual
CORPORATE DIRECTORNOT APPLICABLE
Yates, Richard
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New York.

No county cost figures on file for Monroe.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
St. John's Health Care Corporation
Rochester
0.7 mi2025-06-091213
Kirkhaven
Rochester
1.2 mi2026-03-180211
Unity Living Center
Rochester
1.2 mi2025-05-15031
Monroe Community Hospital
Rochester
1.9 mi2025-10-24043
Lilac Manor Rehabilitation and Nursing Center
Rochester
1.7 mi2026-05-154190
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01