Cycle 1
Health 2024-02-12 · Fire 2024-02-12
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Hamburg, NY
Autumn View Health Care Facility L L C
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
S 4650 Southwestern Blvd, Hamburg, NY
(716) 648-2450
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
230
Certified beds
Average residents
221
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Mcguire Group
Operator or chain grouping
Approved since
1983-03-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 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
Hours and turnover
RN hours / resident day
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.65
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.11
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,578
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0106
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 24.04% · Performance 14.66% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.22
Baseline 4.85% · Performance 5.68% · Measure score 7.22 · Achievement 7.22 · Improvement 0
Total nurse turnover
4.49
Performance 45.33% · Measure score 4.49 · Achievement 4.49 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.51
Baseline 3.24 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.88% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 350 · Observed rate 10% · Lower 95% interval 8.33% |
| Discharge to community | 58.1% |
50.57%
7.5 pts better
|
Better than the National Rate · Eligible stays 371 · Observed rate 55.53% · Lower 95% interval 51.75% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 239 · Denominator 239 |
| Falls with major injury | 0.42% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 239 |
| Discharge self-care score | 59.02% |
53.69%
5.3 pts better
|
Numerator 121 · Denominator 205 |
| Discharge mobility score | 74.15% |
50.94%
23.2 pts better
|
Numerator 152 · Denominator 205 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 3 · Denominator 239 · Adjusted rate 1.93% |
| Healthcare-associated infections requiring hospitalization | 5.68% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 178 · Observed rate 3.37% · Lower 95% interval 3.37% |
| Staff COVID-19 vaccination coverage | 1.44% |
8.2%
6.8 pts worse
|
Numerator 5 · Denominator 347 |
| Staff flu vaccination coverage | 79.81% |
42%
37.8 pts better
|
Numerator 249 · Denominator 312 |
| Discharge function score | 65.85% |
56.45%
9.4 pts better
|
Numerator 135 · Denominator 205 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | 98.86% |
96.28%
2.6 pts better
|
Numerator 174 · Denominator 176 |
| Resident COVID-19 vaccinations up to date | 35.07% |
25.2%
9.9 pts better
|
Numerator 47 · Denominator 134 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.7
1.1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.3
0.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.2%
8.2 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.4% · Q3 99.4% · Q4 99.4% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
95.3%
1.7 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.0%
1.4 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.9% · Q3 1.8% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
18.5%
17.5 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.0% · Q3 0.6% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
6.1%
4.7 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 2.8% · Q3 1.4% · Q4 0.7% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
13.5%
0.1 pts worse
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 14.5% · Q3 12.8% · Q4 12.4% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
14.8%
4.3 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 16.4% · Q3 19.3% · Q4 22.6% · 4Q avg 19.1% · 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 | 13.8% |
15.1%
1.3 pts better
|
16.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 28.0% · Q3 10.2% · Q4 8.0% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
15.5%
1.6 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 17.0% · Q3 16.9% · Q4 13.6% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.6%
0.7 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 1.8% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.9% |
20.8%
14.9 pts better
|
19.8%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.6% · Q3 6.0% · Q4 2.7% · 4Q avg 5.9% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
6.9%
2 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.5% · Q3 6.5% · Q4 5.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
76.7%
23.2 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
9.7%
2.7 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.0% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.7% · Q3 1.0% · Q4 0.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.6% |
78.8%
10.8 pts better
|
79.7%
9.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
20.6%
1.5 pts worse
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 18.1% · Expected 19.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-22 · Fire 2022-03-22
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-07-02 · Fire 2019-07-02
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-02-12
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-04-01
E · Potential for more than minimal harm
2024-02-12
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-01
E · Potential for more than minimal harm
2024-02-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-12
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-01
E · Potential for more than minimal harm
2022-03-22
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-04-26
E · Potential for more than minimal harm
2022-03-22
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-22
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2022-04-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-02-12
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-03-22
D · Potential for more than minimal harm
2022-03-22
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-22
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-22
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-04-26
D · Potential for more than minimal harm
2022-03-22
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-04-26
D · Potential for more than minimal harm
2019-07-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-30
Penalties and ownership
What sits behind the stars
Ownership
Vestra Spv1 LLC
5% Or Greater Direct Ownership Interest · Organization
Vestra Spv2 LLC
5% Or Greater Direct Ownership Interest · Organization
Farbenblum, Edward
5% Or Greater Indirect Ownership Interest · Individual
Farbenblum, Edward
Operational/Managerial Control · Individual
Green, Justin
Operational/Managerial Control · Individual
Grigg, Susan
Operational/Managerial Control · Individual
Grigg, Susan
Corporate Officer · Individual
Lieberman, Orly
5% Or Greater Indirect Ownership Interest · Individual
Phan, Tom
Corporate Officer · Individual
Rosso, Ralph
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Elderwood At Hamburg
Hamburg, NY
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Father Baker Manor
Orchard Park, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Fox Run At Orchard Park
Orchard Park, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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