Federal inspection record · CMS data as of October 1, 2026

Delaware Oaks Center for Rehabilitation and Nursin

1205 Delaware Avenue, Buffalo, NY · (716) 885-3838

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

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Certified beds
95
Residents per day
88
Ownership
For-Profit
Chain
The Grand Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 21, 1980

1

How this home got 2 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among New York homes

Delaware Oaks Center for Rehabilitation and Nursin carries 52 inspection points. That is fewer than 37% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 52 pts · 2★

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

21 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 2 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 24, 2025 · Complaint · F600 · Corrected January 19, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 24, 2025 · Complaint · F609 · Corrected January 19, 2026

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 9, 2024 · Complaint · F600 · Corrected October 7, 2024

  4. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    August 9, 2024 · Standard · F604 · Corrected October 7, 2024

  5. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 24, 2023 · Standard · F600 · Corrected May 12, 2023

  6. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 24, 2023 · Standard · F609 · Corrected May 12, 2023

Quality of Life and Care4D
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 9, 2024 · Standard · F686 · Corrected October 7, 2024

  2. D

    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.

    August 9, 2024 · Standard · F688 · Corrected October 7, 2024

  3. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 14, 2021 · Standard · F686 · Corrected June 8, 2021

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 14, 2021 · Standard · F698 · Corrected June 8, 2021

Pharmacy Service3D
  1. D

    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.

    March 24, 2023 · Standard · F758 · Corrected May 12, 2023

  2. D

    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.

    April 14, 2021 · Standard · F758 · Corrected June 8, 2021

  3. D

    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.

    April 14, 2021 · Standard · F761 · Corrected June 8, 2021

Environmental2F
  1. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    August 9, 2024 · Standard · F925 · Corrected October 7, 2024

  2. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    March 24, 2023 · Standard · F919 · Corrected May 12, 2023

Resident Rights2E
  1. E

    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.

    August 9, 2024 · Complaint · F584 · Corrected October 7, 2024

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 14, 2021 · Standard · F550 · Corrected June 8, 2021

Nutrition and Dietary2F
  1. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    August 9, 2024 · Complaint · F806 · Corrected October 7, 2024

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 24, 2023 · Standard · F812 · Corrected May 12, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 26, 2025 · Complaint · F880 · Corrected May 15, 2025

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 9, 2024 · Complaint · F656 · Corrected October 7, 2024

Inspection history

  1. 2024-08-09

    10 health deficiencies · 12 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  2. 2023-03-24

    6 health deficiencies · 15 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2021-04-14

    5 health deficiencies · 7 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 30 min of it from a registered nurse.

This home

3 h 35 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 57% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse1.91.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse3.01.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better97.7%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better98.8%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better1.3%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms9.8 pts better10.3%20.1%13.5%
Percentage of long-stay residents who lose too much weight3.5 pts worse9.2%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts better7.3%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication1 pts worse14.7%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.7 pts better3.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better8.0%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse22.3%18.6%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better6.4%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better81.6%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts worse14.7%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better0.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts worse76.0%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse22.7%20.6%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Strauss, Jeremy5% Or Greater Direct Ownership Interest · Individual95%15 facilities
Strauss, Elliot5% Or Greater Direct Ownership Interest · Individual5%1 facilities
Balan, BelindaOperational/Managerial Control · Individual0%1 facilities
Balan, BelindaAdp Of The SNF · Individual0%1 facilities
Stern, SamuelCorporate Officer · Individual0%64 facilities

·

Fire safety

34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke12E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 9, 2024 · K321 · Corrected October 7, 2024

  2. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 9, 2024 · K345 · Corrected October 7, 2024

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 9, 2024 · K353 · Corrected October 7, 2024

  4. E

    Install corridor and hallway doors that block smoke.

    August 9, 2024 · K363 · Corrected October 7, 2024

  5. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 9, 2024 · K374 · Corrected October 7, 2024

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 24, 2023 · K321 · Corrected May 12, 2023

  7. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    March 24, 2023 · K325 · Corrected May 12, 2023

  8. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 24, 2023 · K345 · Corrected May 12, 2023

  9. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 24, 2023 · K353 · Corrected May 12, 2023

  10. E

    Install corridor and hallway doors that block smoke.

    March 24, 2023 · K363 · Corrected May 12, 2023

  11. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 14, 2021 · K345 · Corrected June 8, 2021

  12. E

    Inspect, test, and maintain automatic sprinkler systems.

    April 14, 2021 · K353 · Corrected June 8, 2021

Gas, Vacuum, and Electrical Systems6E
  1. E

    Have generator or other power source capable of supplying service within 10 seconds.

    August 9, 2024 · K918 · Corrected October 7, 2024

  2. E

    Have proper medical gas storage and administration areas.

    August 9, 2024 · K923 · Corrected October 7, 2024

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    March 24, 2023 · K918 · Corrected May 12, 2023

  4. E

    Have proper medical gas storage and administration areas.

    March 24, 2023 · K923 · Corrected May 12, 2023

  5. E

    Ensure that testing and maintenance of electrical equipment is performed.

    April 14, 2021 · K921 · Corrected June 8, 2021

  6. D

    Have proper medical gas storage and administration areas.

    April 14, 2021 · K923 · Corrected June 8, 2021

Egress5E
  1. E

    Install proper backup exit lighting.

    August 9, 2024 · K281 · Corrected October 7, 2024

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 24, 2023 · K211 · Corrected May 12, 2023

  3. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    March 24, 2023 · K223 · Corrected May 12, 2023

  4. D

    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.

    March 24, 2023 · K222 · Corrected May 12, 2023

  5. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 14, 2021 · K211 · Corrected June 8, 2021

Emergency Preparedness4C
  1. C

    Conduct testing and exercise requirements.

    August 9, 2024 · E39 · Corrected October 7, 2024

  2. C

    Address patient/client population and determine types of services needed.

    August 9, 2024 · E7 · Corrected October 7, 2024

  3. C

    Establish roles under a Waiver declared by secretary.

    March 24, 2023 · E26 · Corrected May 12, 2023

  4. C

    Address patient/client population and determine types of services needed.

    March 24, 2023 · E7 · Corrected May 12, 2023

Construction3E
  1. E

    Use approved construction type or materials.

    August 9, 2024 · K161 · Corrected September 26, 2024

  2. E

    Use approved construction type or materials.

    March 24, 2023 · K161 · Corrected May 12, 2023

  3. E

    Use approved construction type or materials.

    April 14, 2021 · K161 · Not yet marked corrected

Miscellaneous2E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 9, 2024 · K761 · Corrected October 7, 2024

  2. E

    Have restrictions on the use of portable space heaters.

    March 24, 2023 · K781 · Corrected May 12, 2023

Services2E
  1. E

    Have elevators that firefighters can control in the event of a fire.

    March 24, 2023 · K531 · Corrected May 12, 2023

  2. E

    Have elevators that firefighters can control in the event of a fire.

    April 14, 2021 · K531 · Corrected June 8, 2021

·

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