Orchard Park, NY

Father Baker Manor

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

6400 Powers Road, Orchard Park, NY

(716) 667-0001

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

151

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-06-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.86

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

2.45

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.37

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.65

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.96

CMS adjusted RN staffing hours

Adjusted total hours

4.55

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,098

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

59.92

Composite VBP score used to determine payment impact.

Payment multiplier

1.0151

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.18

Baseline 19.01% · Performance 19.03% · Measure score 5.18 · Achievement 5.18 · Improvement 0

Healthcare-associated infections

9.16

Baseline 4.81% · Performance 5.10% · Measure score 9.16 · Achievement 9.16 · Improvement 0

Total nurse turnover

3.86

Baseline 41.10% · Performance 47.89% · Measure score 3.86 · Achievement 3.86 · Improvement 0

Adjusted total nurse staffing

5.77

Baseline 4.34 hours · Performance 4.72 hours · Measure score 5.77 · Achievement 5.77 · Improvement 2.12

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.55%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 185 · Observed rate 7.03% · Lower 95% interval 6.84%
Discharge to community	46.24%	50.57% 4.3 pts worse	No Different than the National Rate · Eligible stays 189 · Observed rate 43.92% · Lower 95% interval 40.52%
Medicare spending per beneficiary	0.68	1.02 0.3 pts better
Drug regimen review with follow-up	98.13%	95.27% 2.9 pts better	Numerator 105 · Denominator 107
Falls with major injury	1.87%	0.77% 1.1 pts worse	Numerator 2 · Denominator 107
Discharge self-care score	46.74%	53.69% 6.9 pts worse	Numerator 43 · Denominator 92
Discharge mobility score	47.83%	50.94% 3.1 pts worse	Numerator 44 · Denominator 92
Pressure ulcers or injuries, new or worsened	11.21%	2.29% 8.9 pts worse	Numerator 12 · Denominator 107 · Adjusted rate 11.08%
Healthcare-associated infections requiring hospitalization	5.1%	7.12% 2 pts better	No Different than the National Rate · Eligible stays 107 · Observed rate 0.93% · Lower 95% interval 2.65%
Staff COVID-19 vaccination coverage	7.69%	8.2% 0.5 pts worse	Numerator 19 · Denominator 247
Staff flu vaccination coverage	55.39%	42% 13.4 pts better	Numerator 221 · Denominator 399
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 46 · Denominator 92
Transfer of health information to provider	98.59%	95.95% 2.6 pts better	Numerator 70 · Denominator 71
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 14 · Denominator 56

Quality measures

Resident outcomes and process scores

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 0.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.3 0.7 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	91.2% 1.2 pts better	93.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 92.4% · Q3 93.5% · Q4 88.9% · 4Q avg 92.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.6%	95.3% 2.3 pts better	95.5% 2.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury	3.5%	3.0% 0.5 pts worse	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.5% · Q3 4.8% · Q4 3.2% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	18.5% 17.4 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 1.6% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	3.2%	6.1% 2.9 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.5% · Q3 2.7% · Q4 2.6% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.6%	13.5% 0.9 pts better	19.6% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 11.7% · Q3 11.5% · Q4 10.5% · 4Q avg 12.6%
Percentage of long-stay residents who received an antipsychotic medication	10.6%	14.8% 4.2 pts better	16.7% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 11.2% · Q3 10.2% · Q4 9.3% · 4Q avg 10.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.8%	0.2% 0.6 pts worse	0.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8%
Percentage of long-stay residents whose ability to walk independently worsened	9.3%	15.1% 5.8 pts better	16.3% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 6.5% · Q3 6.2% · Q4 11.8% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.0%	15.5% 0.5 pts better	14.9% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.1% · Q3 14.0% · Q4 13.1% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.4% 0.8 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.8%	20.8% 10 pts worse	19.8% 11 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 34.6% · Q3 30.3% · Q4 25.7% · 4Q avg 30.8%
Percentage of long-stay residents with pressure ulcers	8.5%	6.9% 1.6 pts worse	5.1% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.1% · Q3 6.9% · Q4 12.0% · 4Q avg 8.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.3%	76.7% 5.6 pts better	81.7% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 73.6% · Q2 73.7% · Q3 86.7% · Q4 94.7% · 4Q avg 82.3%
Percentage of short-stay residents who had an outpatient emergency department visit	8.6%	9.7% 1.1 pts better	12.0% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.1% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.2% 0.3 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.8% · Q4 2.1% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.1%	78.8% 1.7 pts worse	79.7% 2.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.3%	20.6% 0.7 pts worse	23.9% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 19.8% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-06 · Fire 2024-11-06

4 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-11-15 · Fire 2022-11-15

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-02-04 · Fire 2020-02-04

1 health deficiencies

Top issue: Quality of Life and Care (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 2024-11-06

K321 · Smoke Deficiencies

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 2024-12-31

E · Potential for more than minimal harm 2024-11-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-06

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-31

E · Potential for more than minimal harm 2022-11-15

K321 · Smoke Deficiencies

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 2023-01-13

E · Potential for more than minimal harm 2022-11-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-11-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-11-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-11-15

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-11-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-11-15

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-01-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-08

D · Potential for more than minimal harm 2024-11-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-31

D · Potential for more than minimal harm 2022-11-15

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-11-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-11-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-01-13

D · Potential for more than minimal harm 2020-02-04

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 2020-03-25

Penalties and ownership