Federal inspection record · CMS data as of October 1, 2026
Harris Hill Nursing Facility, L L C
2699 Wehrle Drive, Williamsville, NY · (716) 632-3700
- CMS high-performer trophy
- Certified beds
- 192
- Residents per day
- 186
- Ownership
- For-Profit
- Chain
- The Mcguire Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 8, 1992
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Harris Hill Nursing Facility, L L C carries 18 inspection points. That is fewer than 80% of New York's 589 rated homes.
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
14 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary4D
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- B
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Ensure each resident receives an accurate assessment.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1D
- D
Implement a program that monitors antibiotic use.
Inspection history
2026-04-21
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-06-28
3 health deficiencies · 10 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2022-09-21
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 24 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 26% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.0 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 100.0% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 97.9% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.6% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.3 pts better | 2.8% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.6% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 10.4% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts worse | 15.1% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better | 9.9% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 8.6% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 1.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts better | 11.4% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 5.8% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.2 pts better | 99.8% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better | 8.9% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts better | 88.5% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts worse | 21.9% | 20.6% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Vestra Spv1 LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 6 facilities |
| Vestra Spv2 LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 6 facilities |
| Farbenblum, Edward | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 14 facilities |
| Farbenblum, Edward | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Grigg, Susan | Corporate Officer · Individual | 0% | 8 facilities |
| Grigg, Susan | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Lieberman, Orly | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Phan, Tom | Corporate Officer · Individual | 0% | 9 facilities |
| Rosso, Ralph | Corporate Officer · Individual | 0% | 14 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5E
- E
Have proper medical gas storage and administration areas.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Egress3E
- E
Install proper backup exit lighting.
- E
Have properly located and lighted "Exit" signs.
- 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.
Construction1E
- E
Meet other general requirements.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
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