Rochester Senior AdvisorThe Willows at 459 East Oak Orchard Street, Medina is licensed by the New York State Department of Health as an adult home with 24 certified beds, without assisted living residence certification, and sits in the Town of Shelby, Orleans County.
What does the state's roster show for The Willows?
The Willows holds 1 NYSDOH operating certificate (550-F-007) for 24 beds in total, smaller than the 77-bed median for the 46 licensed adult care facility buildings in the five-county Rochester area.
| License | Operating certificate | Certified capacity | ALR certifications (beds) | Opened | Residents, end of 2026 Q2 |
|---|---|---|---|---|---|
| Adult Home | 550-F-007 | 24 | none | April 20, 1988 | 14 |
At the end of 2026 Q2 the facility reported 14 residents against 24 certified beds, about 58% full. The operator of record is Branching Out LLC (llc). The first license at this address dates to 1988.
What can The Willows not provide under its license?
Not in the state's legal sense: The Willows holds a base adult care facility license with no ALR, EALR, SNALR or Assisted Living Program certification in the department's capacity report, so it can provide room, board, supervision and personal care but cannot keep residents who need nursing-home-level care.
Many families use the phrase assisted living for any residence like this, and that is fine in conversation. The legal difference shows up later: if a resident's needs grow past the adult home or enriched housing retention standards, a move is required. Ask the administrator what happens when a resident starts needing help transferring.
How has The Willows done on Department of Health inspections?
NYS Health Profiles shows no inspection reports for The Willows in its current four-year window, which usually means the license is new or the residence has had no complaint or relicensure visit posted yet.
Ask the administrator for the most recent Department of Health inspection report; New York requires at least one unannounced inspection a year for most adult care facilities.
Has The Willows been fined by the state?
No enforcement action against The Willows appears on NYS Health Profiles for the current window.
An empty enforcement record does not mean an empty inspection record; the violation counts above tell more of the story.
Does The Willows have memory care?
The Willows has no SNALR beds, so a resident whose dementia requires a secured or specialized setting would need to move; the closest SNALR-certified residence is Evergreen Place, Enhanced, Assisted Living & Memory Care in Clarkson, about 21.7 miles away by straight line.
- Evergreen Place, Enhanced, Assisted Living & Memory Care — 34 SNALR beds, 21.7 mi
- The Memory Care Residences at Cottage Grove — 52 SNALR beds, 29.1 mi
- Seabury Woods — 24 SNALR beds, 32.2 mi
Which assisted living residences are closest to The Willows?
The nearest other licensed adult care facility is Evergreen Place, Enhanced, Assisted Living & Memory Care in Clarkson, about 21.7 miles away by straight line, with 114 beds and ALR, EALR, SNALR.
| Facility | Miles away | Certified capacity | ALR certifications | SNALR (memory care) beds | Violations, 4-yr window |
|---|---|---|---|---|---|
| Evergreen Place, Enhanced, Assisted Living & Memory Care 90 West Avenue, Brockport 14420 | 21.7 | 114 | ALR, EALR, SNALR | 34 | 45 |
| The Memory Care Residences at Cottage Grove 48 Cottage Grove Cir, North Chili 14514 | 29.1 | 52 | ALR, EALR, SNALR | 52 | 17 |
| Westwood Commons Adult Home 50 Union Square Boulevard, North Chili 14514 | 29.2 | 120 | Base license only | 0 | 9 |
| The Residences at East Avenue LLC 231 East Ave, Hilton 14468 | 30.0 | — | Base license only | 0 | n/a |
| Seabury Woods 110 Dalaker Drive, Rochester 14624 | 32.2 | 85 | ALR, EALR, SNALR | 24 | 28 |
Where is The Willows and what is nearby?
The Willows is in the Town of Shelby, Orleans County; the nearest hospital is Medina Memorial Hospital (Orleans Community Health), about 1.4 miles away by straight line.
Next is URMC Strong West at about 21.6 miles. Distances are straight lines between map coordinates, not drive times.
If nursing home care is needed later, the closest CMS-certified homes are Orchard Rehabilitation & Nursing Center (0.2 mi, CMS 4 of 5) and Medina Memorial Hospital SNF (1.4 mi, CMS 4 of 5).
What should families ask The Willows before moving in?
Let the public record set the agenda: ask for the most recent Department of Health inspection report and how any cited items were corrected.
- Ask how many aides and supervisors are awake overnight, and who helps residents with medications.
- 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 Willows on NYS Health Profiles.
