5 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
East Aurora, NY
3-star overall rating with 3-star inspections with 5 recent health deficiencies
292 Main Street, East Aurora, NY
(716) 652-1560
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
320
Certified beds
Average residents
195
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Absolut Care
Operator or chain grouping
Approved since
1969-03-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.31
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.99
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
4.17
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
3,296
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45
Composite VBP score used to determine payment impact.
Payment multiplier
0.9982
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.90
Baseline 20.81% · Performance 19.16% · Measure score 4.90 · Achievement 4.90 · Improvement 3.86
Healthcare-associated infections
5.57
Baseline 5.91% · Performance 6.17% · Measure score 5.57 · Achievement 5.57 · Improvement 0
Total nurse turnover
4.81
Baseline 50.47% · Performance 44.02% · Measure score 4.81 · Achievement 4.81 · Improvement 2.02
Adjusted total nurse staffing
2.72
Baseline 3.69 hours · Performance 3.85 hours · Measure score 2.72 · Achievement 2.72 · Improvement 0.27
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 10.49% · Lower 95% interval 7.28% |
| Discharge to community | 41.69% |
50.57%
8.9 pts worse
|
No Different than the National Rate · Eligible stays 137 · Observed rate 32.85% · Lower 95% interval 31.45% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.55% |
95.27%
1.3 pts better
|
Numerator 84 · Denominator 87 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 87 |
| Discharge self-care score | 41.27% |
53.69%
12.4 pts worse
|
Numerator 26 · Denominator 63 |
| Discharge mobility score | 63.49% |
50.94%
12.6 pts better
|
Numerator 40 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 2.3% |
2.29%
About the same
|
Numerator 2 · Denominator 87 · Adjusted rate 2.8% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 4.4% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 12.21% |
8.2%
4 pts better
|
Numerator 37 · Denominator 303 |
| Staff flu vaccination coverage | 62.76% |
42%
20.8 pts better
|
Numerator 246 · Denominator 392 |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 35 · Denominator 63 |
| Transfer of health information to provider | 73.91% |
95.95%
22 pts worse
|
Numerator 17 · Denominator 23 |
| Transfer of health information to patient | 92.5% |
96.28%
3.8 pts worse
|
Numerator 37 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 42% |
25.2%
16.8 pts better
|
Numerator 21 · Denominator 50 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.3 |
1.7
1.4 pts better
|
1.9
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.5 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.3 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
91.2%
3.1 pts better
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 96.5% · Q3 98.2% · Q4 99.4% · 4Q avg 94.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.1% |
95.3%
8.2 pts worse
|
95.5%
8.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.0%
1.2 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.2% · Q3 2.4% · Q4 3.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
18.5%
17.1 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 1.3% · Q4 1.9% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.1%
0.6 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.1% · Q3 8.2% · Q4 4.7% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.0% |
13.5%
5.5 pts worse
|
19.6%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 17.8% · Q3 19.6% · Q4 17.9% · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.0% |
14.8%
15.2 pts worse
|
16.7%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q2 29.3% · Q3 29.1% · Q4 28.3% · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.6% |
15.1%
3.5 pts worse
|
16.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 27.1% · Q3 17.0% · Q4 5.0% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
15.5%
4.5 pts worse
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 26.1% · Q3 16.8% · Q4 12.3% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
20.8%
7.2 pts better
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 12.9% · Q3 14.0% · Q4 9.8% · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
6.9%
2.1 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.3% · Q3 3.9% · Q4 3.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.6% |
76.7%
4.1 pts worse
|
81.7%
9.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.3% · Q2 69.2% · Q3 85.5% · Q4 84.7% · 4Q avg 72.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.4% |
9.7%
4.7 pts worse
|
12.0%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 14.3% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.1% |
78.8%
2.7 pts worse
|
79.7%
3.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% |
20.6%
7.3 pts worse
|
23.9%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 26.8% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-03
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-03
Health
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.
Corrected 2023-08-26
Health
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.
Corrected 2023-08-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-08-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-26
Health
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.
Corrected 2023-08-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-14
Health
Keep all essential equipment working safely.
Corrected 2021-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-08-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
General Partnership Interest · Individual
Limited Partnership Interest · Individual
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