Federal inspection record · CMS data as of October 1, 2026
Absolut Center for Nursing and Rehabilitation at A
292 Main Street, East Aurora, NY · (716) 652-1560
- Certified beds
- 320
- Residents per day
- 195
- Ownership
- For-Profit
- Chain
- Absolut Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 13, 1969
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Absolut Center for Nursing and Rehabilitation at A carries 29 inspection points. That is fewer than 64% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service1E
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Administration1C
- C
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Environmental1E
- E
Keep all essential equipment working safely.
Resident Assessment and Care Planning1B
- B
Ensure each resident receives an accurate assessment.
Inspection history
2024-12-20
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-06-28
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2021-08-11
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 29 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 0.9 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.8 pts better | 99.6% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 98.9% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 2.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts better | 1.2% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 3.9% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts worse | 18.9% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts worse | 21.8% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better | 8.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 12.8% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.6 pts better | 7.0% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts better | 2.6% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 85.1% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 6.2% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.1 pts better | 85.0% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.7 pts worse | 30.3% | 20.6% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sherman, Israel | 5% Or Greater Direct Ownership Interest · Individual | 45% | 10 facilities |
| Absolut Facilities Management, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Bonadio & Co Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
| Favorite Healthcare Staffing LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Flanagan, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gahr, Kaitlyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gahr, Kaitlyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Green, Justin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Green, Justin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Highgate Medical Group Pc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Highgate Medical Group Pc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Kwarta, Daire | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moscato, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Phan, Tom | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Phan, Tom | Adp Of The SNF · Individual | 0% | 9 facilities |
| Rca Healthcare Management LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rosso, Ralph | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Rosso, Ralph | Adp Of The SNF · Individual | 0% | 14 facilities |
| Sga H. Care Staffing LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sherman, Israel | Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Sherman, Samuel | Direct Ownership Interest · Individual | 0% | 23 facilities |
| Sia Su, Gerwina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Szafarczyk, Holly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| The Mcguire Group | Adp Of The SNF · Organization | 0% | 2 facilities |
| Vestracare Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
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