Rochester Senior AdvisorHorizons at 3132 State Route 21 South, Canandaigua is licensed by the New York State Department of Health as an adult home with 76 certified beds, certified as ALP, and sits in the Town of Canandaigua, Ontario County.
What does the state's roster show for Horizons?
Yes: the Department of Health's roster lists Horizons under operating certificate 530-E-051 with 76 certified beds, which makes it smaller than the typical Rochester-area residence (77 beds).
| License | Operating certificate | Certified capacity | ALR certifications (beds) | Opened | Residents, end of 2026 Q2 |
|---|---|---|---|---|---|
| Adult Home | 530-E-051 | 76 | ALP 47 | December 16, 1996 | 72 |
At the end of 2026 Q2 the facility reported 72 residents against 76 certified beds, about 95% full. The operator of record is DePaul Adult Care Communities, Inc. (not for profit corporation). The first license at this address dates to 1996.
What level of care is Horizons certified for?
In the Department of Health's capacity report, 47 are Assisted Living Program (ALP) beds paid by Medicaid.
These numbers are caps. A building with 20 EALR beds can only keep 20 residents at the enhanced level at once, so ask how many of those beds are filled today. See what ALR, EALR and SNALR mean.
How has Horizons done on Department of Health inspections?
The Department of Health inspected Horizons 17 times in the four-year window NYS Health Profiles shows, most recently on May 29, 2026; 5 visits produced at least one violation, 19 in total.
| Report issued | Survey type | Violations | Status | Regulation topics cited |
|---|---|---|---|---|
| May 29, 2026 | Complaint Survey | 2 | Plan/Notice of Correction Approved | Food service; Environmental standards |
| May 1, 2026 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| March 27, 2026 | Relicensure, Complaint Survey | 7 | Plan/Notice of Correction Approved | Resident protections; Resident services; Food service |
| January 22, 2026 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| November 26, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| November 13, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| October 6, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
| September 30, 2025 | Complaint Survey | 0 | Plan/Notice of Correction Not Required | — |
The last full relicensure survey shown is dated March 27, 2026. That is more than the median of 14 violations for Rochester-area residences over the same window. The topics cited most often here were resident services (5), food service (4), environmental standards (4).
The 9 older reports are on the facility's NYS Health Profiles page.
Are there any state penalties on file for Horizons?
No enforcement action against Horizons 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.
Can Horizons keep a resident with advancing dementia?
Horizons 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 Quail Summit in Canandaigua, about 0.4 miles away by straight line.
- Quail Summit — 22 SNALR beds, 0.4 mi
- Clark Meadows at Ferris Hills — 14 SNALR beds, 1.5 mi
- The Memory Care Residences at Creekstone — 64 SNALR beds, 14.3 mi
What are the alternatives to Horizons nearby?
The nearest other licensed adult care facility is Quail Summit in Canandaigua, about 0.4 miles away by straight line, with 55 beds and ALR, SNALR.
| Facility | Miles away | Certified capacity | ALR certifications | SNALR (memory care) beds | Violations, 4-yr window |
|---|---|---|---|---|---|
| Quail Summit 5102 Parrish Street Ext., Canandaigua 14424 | 0.4 | 55 | ALR, SNALR | 22 | 14 |
| Clark Meadows at Ferris Hills 1 Clark Mdws, Canandaigua 14424 | 1.5 | 59 | ALR, SNALR | 14 | 1 |
| The Clark Manor House 318 Fort Hill Avenue, Canandaigua 14424 | 2.3 | 17 | ALR, EALR | 0 | 8 |
| Victor Views Assisted Living 1440 State Route 444, Victor 14564 | 8.2 | 12 | ALR, EALR | 0 | 15 |
| Ashton Place 190 Ashton Court, Clifton Springs 14432 | 10.4 | 60 | Base license only | 0 | 1 |
Where is Horizons and what is nearby?
Horizons is in the Town of Canandaigua, Ontario County; the nearest hospital is F.F. Thompson Hospital (UR Medicine), about 0.8 miles away by straight line.
Next is Clifton Springs Hospital and Clinic at about 10.3 miles. Distances are straight lines between map coordinates, not drive times.
If nursing home care is needed later, the closest CMS-certified homes are M.M. Ewing Continuing Care Center (0.8 mi, CMS 5 of 5) and Elm Manor Nursing and Rehabilitation Center (1.6 mi, CMS 1 of 5).
What should families ask Horizons before moving in?
Start with what its own record raises: ask to read the May 29, 2026 inspection report and the approved plan of correction.
- Ask how many aides and supervisors are awake overnight, and who helps residents with medications.
- Ask whether an Assisted Living Program bed is open for a Medicaid applicant, and how long the wait usually runs.
- Ask for the residency agreement and fee schedule in writing before any deposit; New York requires a written admission agreement.
Official record: Horizons on NYS Health Profiles.
