Elderwood of Lakeside at Brockport

170 West Avenue
Brockport, NY, 14420
5853956095
CCN: 335569
4
Overall
4
Health
2
Staffing
4
Quality
ChainELDERWOOD→
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
170 WEST AVENUE OPERATING HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
RUBIN, JEFFREY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
COLE, WARREN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
COLE, WARRENCORPORATE OFFICERNOT APPLICABLE
RUBIN, JEFFREYCORPORATE OFFICERNOT APPLICABLE
QUILLARD, PHILIPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COLE, WARRENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RUBIN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KLINETOB, KIMBERLYW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (7)
2025-04-02 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2025-01-08 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-13 · Health
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.10
3.68
RN Hrs/Resident/Day
0.65
0.54
LPN Hrs/Resident/Day
1.02
0.81
CNA Hrs/Resident/Day
1.43
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01