Rochester Senior AdvisorThe Homestead at 256 Thurston Rd, Rochester is licensed by the New York State Department of Health as an adult home with 102 certified beds, certified as ALR, EALR and SNALR, and sits in the City of Rochester, Monroe County.
Is The Homestead in Rochester licensed by the state?
The state roster carries The Homestead as an adult home (370-E-022), certified for 102 residents; the middle of the Rochester-area roster is 77 beds, so it is larger than most.
| License | Operating certificate | Certified capacity | ALR certifications (beds) | Opened | Residents, end of 2026 Q2 |
|---|---|---|---|---|---|
| Adult Home | 370-E-022 | 102 | ALR 102, EALR 22, SNALR 65 | November 28, 1989 | 55 |
At the end of 2026 Q2 the facility reported 55 residents against 102 certified beds, about 54% full. The operator of record is Rochester Presbyterian Home, Inc. (not for profit corporation). The first license at this address dates to 1989.
Which assisted living certifications does The Homestead have?
In the Department of Health's capacity report, 102 beds are certified as an Assisted Living Residence (ALR); 22 are Enhanced ALR (EALR) beds for residents who need more physical help and want to age in place; 65 are Special Needs ALR (SNALR) beds for dementia care.
Certification is what lets a residence keep someone whose needs grow: an EALR bed can serve a resident who chronically needs help walking or transferring, and a SNALR bed requires a dementia-specific plan the department has approved. See what ALR, EALR and SNALR mean.
What did state inspections find at The Homestead?
State surveyors have been to The Homestead 12 times since July 1, 2022, last on May 20, 2026, and their reports cite 15 violations overall.
| Report issued | Survey type | Violations | Status | Regulation topics cited |
|---|---|---|---|---|
| May 20, 2026 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| April 30, 2026 | Complaint Survey | 1 | Plan/Notice of Correction Approved | Admission standards |
| March 18, 2026 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| February 17, 2026 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| December 15, 2025 | Complaint Survey | 1 | Plan/Notice of Correction Approved | Resident protections |
| November 25, 2025 | Other Survey | 1 | Plan/Notice of Correction Under Review | Inspection |
| November 6, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| September 26, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
The last full relicensure survey shown is dated September 25, 2025. That is more than the median of 14 violations for Rochester-area residences over the same window. The topics cited most often here were admission standards (3), resident protections (2), operating certificates (2).
The 4 older reports are on the facility's NYS Health Profiles page.
Has New York taken enforcement action against The Homestead?
Yes. NYS Health Profiles lists 1 enforcement action for The Homestead, the most recent a Stipulation & Order dated February 9, 2026 (#ACF-26-012).
- February 9, 2026: Stipulation & Order, #ACF-26-012
Enforcement actions are rare compared with ordinary citations, which is why one on file deserves a direct question: what happened, and how is the fix being checked now?
How does The Homestead compare with nearby licensed residences?
The nearest other licensed adult care facility is The Hawthorne in Brighton, about 2.8 miles away by straight line, with 42 beds and ALR, EALR.
| Facility | Miles away | Certified capacity | ALR certifications | SNALR (memory care) beds | Violations, 4-yr window |
|---|---|---|---|---|---|
| The Hawthorne 1 Johnsarbor Dr W, Rochester 14620 | 2.8 | 42 | ALR, EALR | 0 | 15 |
| Cobbs Hill Manor 1175 Monroe Avenue, Rochester 14620 | 3.6 | 127 | ALP | 0 | 120 |
| The Landing of Brighton 1350 Westfall Road, Rochester 14618 | 3.8 | 121 | ALR, EALR, SNALR | 34 | 27 |
| Wolk Manor Enriched Living Center 4000 Summit Circle Drive, Rochester 14618 | 4.1 | 85 | ALR, EALR, SNALR | 18 | 0 |
| Seabury Woods 110 Dalaker Drive, Rochester 14624 | 4.6 | 85 | ALR, EALR, SNALR | 24 | 28 |
What medical care is close to The Homestead in Rochester?
The Homestead is in the City of Rochester, Monroe County; the nearest hospital is Strong Memorial Hospital (UR Medicine), about 1.8 miles away by straight line.
Next is Highland Hospital at about 2.2 miles. Distances are straight lines between map coordinates, not drive times.
If nursing home care is needed later, the closest CMS-certified homes are Unity Living Center (1.0 mi, CMS 2 of 5) and Church Home of the Protestant Episcopal Church (1.9 mi, CMS 3 of 5).
What should families ask The Homestead before moving in?
Start with what its own record raises: ask what led to the February 9, 2026 stipulation and what monitoring is in place now.
- Ask how many aides and supervisors are awake overnight, and who helps residents with medications.
- Ask how many of the enhanced and special needs beds are open today, and what triggers a move between levels.
- Ask whether the residence accepts residents on SSI, and what happens if private funds run out after admission.
- Ask for the residency agreement and fee schedule in writing before any deposit; New York requires a written admission agreement.
Official record: The Homestead on NYS Health Profiles.
