Kirkhaven

    254 Alexander St, Rochester, NY, 14607
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Kind staff; dangerous neglect; disappointing

    I moved my mom into Kirkhaven and had a deeply mixed, ultimately disappointing experience. The building, some therapists and a few aides (Ivy, Shannon and others) were kind, therapy and activities were strong, and parts of the facility felt homey - but administration was indifferent, staffing chronically short, rooms and furniture often dirty, and I witnessed dangerous neglect: falls, missed/ delayed meds, infections and withheld follow-up. At roughly $16K/month the value is poor; only a handful of staff truly care. I would not recommend it unless you (or a persistent advocate) stay very involved.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.76 · 101 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.6
    • Meals

      3.2
    • Amenities

      3.4
    • Value

      1.7

    Pros

    • Well-maintained, attractive building and courtyard
    • Spacious, homey rooms (some Alexa-enabled)
    • Friendly, caring, and dedicated individual staff members and aides
    • Strong rehabilitation services (PT/OT) and successful therapy outcomes
    • Active, varied activities and engagement programs
    • Chapel and spiritual services on-site
    • Dog-friendly visiting policies
    • Some consistent, compassionate nursing staff and therapists
    • Family meetings and progress reports (when used)
    • Tailored meals/nutritional attention for some residents
    • Efficient admissions/room setup and welcoming reception for some families
    • Clean areas and good maintenance reported by several reviewers
    • Professional, goal-oriented rehab culture (return-to-home focus)
    • Some staff skilled in complex-care cases
    • Convenient amenities and perceived value by some families

    Cons

    • Repeated reports of understaffing and severe staffing shortages
    • Allegations of serious care negligence (UTIs, sepsis, C. difficile)
    • Bedsores, open wounds, blisters and pressure-injury concerns
    • Long delays or lack of timely medications and pain relief
    • Missed or delayed physician follow-up and unclear medical oversight
    • Medication errors or Rx not being sent to pharmacy
    • Failure to respond to call bells and long nurse response times
    • Residents left in wet/soiled diapers for extended periods
    • Inadequate hydration (water not provided, reliance on Boost)
    • Food quality complaints (described as terrible or unfit)
    • Dirty rooms, furniture, and inconsistent housekeeping
    • Rude, disrespectful, or heartless behavior from some staff
    • Inconsistent care quality across units (rehab vs long-term/4th floor)
    • Unsafe or neglected transfers and sudden/poorly explained hospital transports
    • Deceptive or confusing hospital transfer paperwork and communication issues
    • Poor administration responsiveness and lack of clear leadership/contact
    • Safety issues (falls, wandering residents not managed, shower hazards)
    • Allegations of theft or lost belongings, reimbursement disputes
    • Inconsistent infection control and failure to communicate positive tests
    • High cost relative to some families' perception of care/value
    • Instances of negligent food handling and hygiene lapses
    • Short-staffed dining and overcrowded common areas/TV rooms
    • Staff turnover and scheduling/scheduler problems
    • Director of Nursing perceived as unwilling to investigate complaints
    • Reports of near-fatal outcomes and even death attributed to facility care

    Summary review

    Overall sentiment is sharply mixed and polarized: many families and patients praise individual caregivers, therapists, and certain operational aspects of Kirkhaven, while a substantial portion of reviews describe serious and concerning lapses in medical care, hygiene, communication, and leadership. Positive reports repeatedly highlight the physical plant (attractive building, courtyard, spacious rooms, some Alexa-enabled rooms), a robust activities program, and strong rehabilitation services (PT/OT) that help people recover and return home. Several reviewers explicitly named staff members (receptionists, aides, therapists) whose kindness, professionalism, and competency made a significant positive impact. When the rehab team and certain nurses are engaged, families report attentive care, useful family meetings, good therapy plans, clean rooms, tailored meals, and an environment that feels safe and welcoming.

    However, underlying those positives are frequent and serious complaints about care quality and safety that recur across multiple summaries. A consistent theme is understaffing and high staff turnover, which reviewers link to long nurse response times, delayed or missed medications (including extremely long waits for pain meds), missed physician follow-up, and inadequate supervision of residents who wander or are at fall risk. Multiple reviewers document severe clinical outcomes allegedly tied to nursing failures: untreated or late-treated urinary tract infections progressing to sepsis, C. difficile complications, malnutrition and dehydration concerns (including reports that water was not provided and dependence on calorie supplements like Boost), pressure injuries/bedsores, and open wounds that were not adequately attended. There are even reports of death and near-fatal outcomes attributed by families to these lapses.

    The pattern of inconsistent unit-level quality is notable. Rehab floors receive much more positive feedback — therapy staff are often described as excellent and goal-oriented — while long-term care units (notably the fourth floor in several reviews) are described as significantly worse, with chronic neglect, unclean rooms, and poorer staffing. This suggests variability in staffing, training, and oversight between parts of the facility. Several reviews describe effective, compassionate staff members who go above and beyond; at the same time, many reviewers recount rude or disrespectful interactions with other staff and managers. Administrative responsiveness is inconsistent: some families report prompt follow-ups and problem resolution, while others describe unresponsive leadership, a policy-driven administration that appears indifferent to resident well-being, and a Director of Nursing who declined to investigate concerns.

    Clinical operations and medication management are recurring flashpoints. Reviews cite delays in antibiotic prescriptions, missing Rx communications to pharmacies, and unclear documentation about which physician attended a patient. Call-bell nonresponse, lapses in catheter or wound care, and failures to communicate infectious-test results to families are repeatedly mentioned. Several accounts describe poor transitions of care — sudden hospital transfers, paperwork that families viewed as deceptive, lost belongings during discharge, and reimbursement disputes. Safety complaints include falls occurring shortly after admission, shower-area hazards (doors left open), inadequate wandering management, and faulty/worn equipment (e.g., unsafe walkers, torn furniture). These are not isolated gripes; multiple reviewers flagged similar incidents that point to systemic problems in monitoring, maintenance, and safe staffing levels.

    Dining and housekeeping show split opinions. Some reviewers praise fresh meals, tailored nutrition, and polite dining staff. Others strongly criticize food quality (some stating it is 'not fit for animals'), food hygiene lapses (food-handling without gloves), and instances where dietary restrictions/allergies were ignored. Housekeeping is similarly inconsistent — while some units and reviewers report clean, well-maintained rooms, several families describe dirty bedding, stained furniture, and residents who appear unclean. Dining-room crowding and insufficient staff presence during meals were raised as contributing factors to missed intake and dehydration.

    A striking pattern is the importance of family engagement: many positive outcomes are associated with families who were able to stay involved, advocate, and attend meetings. Conversely, several negative reports emphasize that care deteriorated when families were not constantly present, implying that staffing and procedures may not ensure consistent care in the absence of family oversight. Many negative reviewers explicitly advised prospective families to be actively involved, monitor care closely, and double-check medications and transfers.

    In summary, Kirkhaven exhibits strong redeeming qualities — an appealing facility, an active programming environment, and individual staff and therapy teams who provide excellent, compassionate care. However, these strengths coexist with repeated, serious complaints about staffing shortages, clinical negligence, medication and communication failures, hygiene issues, safety incidents, and inconsistent management response. The reviews create a clear pattern: for short-term rehabilitation and when the skilled rehab staff are engaged, experiences are often positive; for longer-term or higher-acuity residents, and in certain units, families report much greater risk of neglect and adverse outcomes. Prospective residents and families should weigh these polarized reports carefully: ask specific questions about staffing ratios and unit assignments, demand clear medication and transfer protocols, verify infection-control practices, and plan for active family advocacy if choosing Kirkhaven.

    Location

    Map showing location of Kirkhaven

    About Kirkhaven

    Kirkhaven is a not-for-profit senior living community that focuses on skilled nursing, rehabilitation, and specialized dementia care. The facility houses up to 147 residents with options for private and semi-private rooms spread out over five floors, and it aims to create a safe, homelike environment where people can feel comfortable and maintain their dignity. Kirkhaven pays attention to the personal needs of seniors and those who need rehabilitation, offering 24-hour medical care and emergency services, as well as help with daily tasks like meal preparation, laundry, and transportation if needed. The center includes a dedicated unit for residents with Alzheimer's disease and other dementias, along with a short-term Transitional Care/Rehab unit for people recovering from surgery, illness, or a hospital stay, and hospice services are also available in partnership with Lifetime Care Hospice, focusing on emotional and spiritual support.

    Kirkhaven supports a variety of social, therapeutic, and recreational activities that encourage residents to share their life stories and engage with the community, and there's a busy activities calendar along with day care and educational programs open to residents and the broader community. Therapeutic services include physical, occupational, and speech therapies, and residents have access to help with nutrition, diet planning, and fitness or health classes. Specialized care also covers senior behavioral health, respiratory therapy, obstetrics and gynecology, and orthopedic needs. The facility uses a neighborhood approach, making personal spaces easy to decorate with the resident's own things, and strives to make sure every individual feels valued as part of the community. Support services include pastoral care, respite care, and hospice care, with communal lounges and dining areas set up to help residents build connections. Visitation is open daily between 8am and 8pm, so friends and family can visit often. Kirkhaven aims to offer support that fits each resident, whether they need memory care, skilled nursing, transitional care, or just a comfortable place with caring staff who want residents to feel at home.

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