11 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Buffalo, NY
2-star overall rating with 2-star inspections with abuse icon flag with 11 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
1205 Delaware Avenue, Buffalo, NY
(716) 885-3838
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
95
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1980-04-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.58
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.24
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,566
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9841
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.25
Baseline 17.74% · Performance 19.46% · Measure score 4.25 · Achievement 4.25 · Improvement 0
Healthcare-associated infections
5.23
Baseline 9.69% · Performance 7.00% · Measure score 5.23 · Achievement 2.79 · Improvement 5.23
Total nurse turnover
1.05
Baseline 50.51% · Performance 59.41% · Measure score 1.05 · Achievement 1.05 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.82 hours · Performance 3.16 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.52% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 162 · Observed rate 13.58% · Lower 95% interval 8.41% |
| Discharge to community | 41.06% |
50.57%
9.5 pts worse
|
Worse than the National Rate · Eligible stays 131 · Observed rate 29.77% · Lower 95% interval 33.73% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 142 · Denominator 142 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 142 |
| Discharge self-care score | 73.56% |
53.69%
19.9 pts better
|
Numerator 64 · Denominator 87 |
| Discharge mobility score | 67.82% |
50.94%
16.9 pts better
|
Numerator 59 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 4.93% |
2.29%
2.6 pts worse
|
Numerator 7 · Denominator 142 · Adjusted rate 5.03% |
| Healthcare-associated infections requiring hospitalization | 7% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 7.89% · Lower 95% interval 3.86% |
| Staff COVID-19 vaccination coverage | 0.58% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 172 |
| Staff flu vaccination coverage | 5.52% |
42%
36.5 pts worse
|
Numerator 10 · Denominator 181 |
| Discharge function score | 74.71% |
56.45%
18.3 pts better
|
Numerator 65 · Denominator 87 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 49 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 48 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 55.17% |
25.2%
30 pts better
|
Numerator 48 · Denominator 87 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
1.3
1.7 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.2%
6.2 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.5% · Q3 97.4% · Q4 96.1% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
95.3%
1 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.0%
0.6 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.9% · Q3 1.3% · Q4 1.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.3% |
18.5%
11.2 pts better
|
11.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 6.6% · Q3 5.4% · Q4 8.6% · 4Q avg 7.3% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 11.3% · Q3 6.9% · Q4 6.1% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.3% |
13.5%
3.2 pts better
|
19.6%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 10.4% · Q3 7.7% · Q4 11.7% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
14.8%
2.4 pts worse
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 17.1% · Q3 20.5% · Q4 22.0% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.3% |
0.2%
0.1 pts worse
|
0.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.4% |
15.1%
8.7 pts better
|
16.3%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 7.0% · Q3 2.5% · Q4 5.0% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
15.5%
5.6 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 12.7% · Q3 8.0% · Q4 9.5% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
20.8%
5.6 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 30.7% · Q3 16.9% · Q4 28.4% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 9.5% |
6.9%
2.6 pts worse
|
5.1%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 10.7% · Q3 12.5% · Q4 7.0% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.2% |
76.7%
0.5 pts worse
|
81.7%
5.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 77.9% · Q3 77.4% · Q4 76.7% · 4Q avg 76.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.0% |
9.7%
10.3 pts worse
|
12.0%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 22.9% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.2%
0.9 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.3% · Q3 0.0% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.0% |
78.8%
2.8 pts worse
|
79.7%
3.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
20.6%
4 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 29.5% · Expected 28.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-26
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-07
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-07
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-10-07
Fire Safety
Use approved construction type or materials.
Corrected 2023-05-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-12
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 2023-05-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-12
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-05-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-12
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-12
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-05-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-12
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-12
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-05-12
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-05-12
Fire Safety
Use approved construction type or materials.
Not marked corrected
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-06-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-08
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-06-08
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-06-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-06-08
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-19
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-10-07
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 2024-10-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-07
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-10-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-07
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-10-07
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-12
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-05-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-12
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 2023-05-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-06-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-06-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-06-08
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 2021-06-08
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-06-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Buffalo, NY
1-star overall rating with 1-star inspections with abuse icon flag with $170,403 in total fines with 23 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Buffalo, NY
1-star overall rating with 1-star inspections with Special Focus status with $375,976 in total fines with 15 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Buffalo, NY
2-star overall rating with 1-star inspections with abuse icon flag with $129,149 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out