Williamsville, NY

Harris Hill Nursing Facility, L L C

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

2699 Wehrle Drive, Williamsville, NY

(716) 632-3700

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

192

Certified beds

Average residents

183

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Mcguire Group

Operator or chain grouping

Approved since

1992-04-08

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

0.45

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.78

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.25

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,736

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

Performance score

54.35

Composite VBP score used to determine payment impact.

Payment multiplier

1.0092

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.40

Baseline 21.80% · Performance 17.55% · Measure score 8.40 · Achievement 8.37 · Improvement 8.40

Healthcare-associated infections

8.48

Baseline 6.87% · Performance 5.30% · Measure score 8.48 · Achievement 8.48 · Improvement 7.87

Total nurse turnover

2.93

Baseline 52.60% · Performance 51.69% · Measure score 2.93 · Achievement 2.93 · Improvement 0

Adjusted total nurse staffing

1.93

Baseline 3.49 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 0.1

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.69%
10.72%
About the same
No Different than the National Rate · Eligible stays 264 · Observed rate 9.85% · Lower 95% interval 8.19%
Discharge to community 50.57%
50.57%
About the same
No Different than the National Rate · Eligible stays 271 · Observed rate 47.23% · Lower 95% interval 44.96%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 99.6%
95.27%
4.3 pts better
Numerator 251 · Denominator 252
Falls with major injury 0.4%
0.77%
0.4 pts better
Numerator 1 · Denominator 252
Discharge self-care score 44.98%
53.69%
8.7 pts worse
Numerator 94 · Denominator 209
Discharge mobility score 57.89%
50.94%
7 pts better
Numerator 121 · Denominator 209
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 252 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 5.3%
7.12%
1.8 pts better
No Different than the National Rate · Eligible stays 152 · Observed rate 2.63% · Lower 95% interval 2.99%
Staff COVID-19 vaccination coverage 1.85%
8.2%
6.3 pts worse
Numerator 5 · Denominator 270
Staff flu vaccination coverage 33.25%
42%
8.8 pts worse
Numerator 130 · Denominator 391
Discharge function score 55.5%
56.45%
1 pts worse
Numerator 116 · Denominator 209
Transfer of health information to provider 88.57%
95.95%
7.4 pts worse
Numerator 31 · Denominator 35
Transfer of health information to patient 99.47%
96.28%
3.2 pts better
Numerator 189 · Denominator 190
Resident COVID-19 vaccinations up to date 16.67%
25.2%
8.5 pts worse
Numerator 24 · Denominator 144

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.7
0.7 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.3
0.3 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
91.2%
8.6 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.2% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.3%
4.7 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
3.0%
0.7 pts better
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.8% · Q3 2.3% · Q4 0.7% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.8%
18.5%
15.7 pts better
11.4%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.2% · Q3 3.3% · Q4 3.1% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight 0.6%
6.1%
5.5 pts better
5.4%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.8% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.4%
13.5%
5.1 pts better
19.6%
11.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.4% · Q3 7.3% · Q4 11.6% · 4Q avg 8.4%
Percentage of long-stay residents who received an antipsychotic medication 15.0%
14.8%
0.2 pts worse
16.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 14.5% · Q3 14.3% · Q4 14.5% · 4Q avg 15.0% · 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 10.9%
15.1%
4.2 pts better
16.3%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 16.8% · Q3 9.4% · Q4 9.8% · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.1%
15.5%
5.4 pts better
14.9%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 20.4% · Q3 5.2% · Q4 7.8% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
0.6%
1 pts worse
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.5% · Q3 2.0% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.8%
1.4%
0.6 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.5%
20.8%
3.3 pts better
19.8%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 24.0% · Q3 29.9% · Q4 10.7% · 4Q avg 17.5%
Percentage of long-stay residents with pressure ulcers 6.3%
6.9%
0.6 pts better
5.1%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.3% · Q3 7.3% · Q4 7.6% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
76.7%
22.9 pts better
81.7%
17.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 99.1% · Q4 99.8% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
9.7%
1.5 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.5% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.2%
0.8 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.3% · Q3 0.0% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.8%
78.8%
10 pts better
79.7%
9.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.7%
20.6%
1.9 pts better
23.9%
5.2 pts better
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 17.0% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-28 · Fire 2024-06-28

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-09-21 · Fire 2022-09-21

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2019-12-17 · Fire 2019-12-17

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-28

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

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 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-28

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-08-05

E · Potential for more than minimal harm 2022-09-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

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 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-09-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-14

D · Potential for more than minimal harm 2022-09-21

K222 · Egress Deficiencies

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 2022-10-14

E · Potential for more than minimal harm 2019-12-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2020-01-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-28

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-08-05

D · Potential for more than minimal harm 2022-09-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-14

D · Potential for more than minimal harm 2022-09-21

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 2022-10-14

D · Potential for more than minimal harm 2022-09-21

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 2022-10-14

D · Potential for more than minimal harm 2022-09-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-10-14

B · Minimal harm 2022-09-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-14

B · Minimal harm 2022-09-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-10-14

Penalties and ownership

What sits behind the stars

Ownership

Vestra Spv1 LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2020-12-23
Vestra Spv2 LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2020-12-23
Farbenblum, Edward

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2020-12-23
Farbenblum, Edward

Operational/Managerial Control · Individual

0% 15 facilities 2020-12-23
Grigg, Susan

Operational/Managerial Control · Individual

0% 8 facilities 2025-01-01
Grigg, Susan

Corporate Officer · Individual

0% 8 facilities 2024-01-01
Lieberman, Orly

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2020-12-23
Phan, Tom

Corporate Officer · Individual

0% 8 facilities 2024-01-01
Rosso, Ralph

Corporate Officer · Individual

0% 13 facilities 2024-01-01

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Staffing
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1-star overall rating with 1-star inspections with $37,138 in total fines with 17 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

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#3

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1-star overall rating with 1-star inspections with $43,973 in total fines with 20 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
$43,973

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