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How to check a facility's record yourself

Four free public sources, and what each one can and cannot tell you.

Quick answer

Search the residence on NYS Health Profiles (profiles.health.ny.gov), open its Inspections tab, and read each report's date, survey type, number of violations and the regulation topics cited, covering a rolling four-year window.

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Last verified: October 2026

How do I look up a New York assisted living residence's inspections?

Search the residence on NYS Health Profiles (profiles.health.ny.gov), open its Inspections tab, and read each report's date, survey type, number of violations and the regulation topics cited, covering a rolling four-year window.

The same page shows enforcement actions, such as a Stipulation and Order with a civil penalty. Most Rochester-area residences have more complaint surveys than routine ones on their record; a complaint survey with no violations means the department looked into a concern and found nothing to cite.

How do I confirm a residence's certifications and size?

The Department of Health's Adult Care Facility Quarterly Statistical Information Report on health.data.ny.gov lists each facility's certified capacity by ALR, EALR, SNALR and ALP, and its census at the end of the quarter.

Those are the figures our directory uses. If a residence says it has memory care but shows no SNALR beds in the report, ask why before going further.

What counts as a lot of violations for a Rochester-area residence?

Across the licensed adult care facilities in the five counties, the median number of violations cited over NYS Health Profiles' four-year window is 14, so a count far above that deserves questions, while a count near it is ordinary.

Size matters: a 150-bed building is visited and cited more than a 17-bed one. Look at the topics too. Repeated citations for medication management or resident services tell more than a single environmental citation for a broken fixture.

How do I check a nursing home's federal record?

Search the home on CMS Care Compare (medicare.gov/care-compare) to see its overall and component star ratings, staffing hours, turnover, inspection reports, fines and payment denials.

The downloadable Provider Information dataset behind Care Compare is updated monthly; our nursing home pages state the data date they use. Check whether CMS marks the home with the abuse icon or Special Focus status, both rare but important.

What will public records not tell me?

Public records do not show current openings, actual prices, how a specific aide treats residents, or problems that were never reported, so a record is a starting point for questions rather than a verdict.

Visit at a mealtime and again in the evening, talk to residents and families if you can, and ask the residents' council chair what changed in the past year. Then compare what you saw with what the record says.

At a glance

Public records showPublic records do not show
Assisted livingInspections, violations, enforcement, certified bedsPrices or openings
Nursing homesCMS stars, staffing, deficiencies, finesDay-to-day culture
TimingDated reports in a rolling windowUnreported problems
RatingsCMS's own nursing home starsAny official assisted living rating

Sources include the N.Y. Social Services Law and Public Health Law, 18 NYCRR Parts 487-494, 10 NYCRR Parts 415 and 1001, Department of Health GIS messages, CMS, the VA and CareScout, as cited above; see our editorial standards.

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