16 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
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
64 Hager Street, Buffalo, NY
(716) 886-4377
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
173
Certified beds
Average residents
149
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Sherman Family
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 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
0.37
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.12
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.76
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
12,184
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.20
Baseline 20.14% · Performance 19.48% · Measure score 4.20 · Achievement 4.20 · Improvement 1.60
Healthcare-associated infections
0
Baseline 7.59% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 49.23% · Performance 65.61% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.22
Baseline 3.67 hours · Performance 3.42 hours · Measure score 1.22 · Achievement 1.22 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.59% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 7.17% |
| Discharge to community | 53.79% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 45.45% · Lower 95% interval 41.07% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.57% |
95.27%
3.3 pts better
|
Numerator 69 · Denominator 70 |
| Falls with major injury | 1.43% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 70 |
| Discharge self-care score | 51.28% |
53.69%
2.4 pts worse
|
Numerator 20 · Denominator 39 |
| Discharge mobility score | 61.54% |
50.94%
10.6 pts better
|
Numerator 24 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 70 · Adjusted rate 3.26% |
| Healthcare-associated infections requiring hospitalization | 7.93% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 4.28% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 56.41% |
56.45%
About the same
|
Numerator 22 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 82.14% |
96.28%
14.1 pts worse
|
Numerator 23 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 25.71% |
25.2%
0.5 pts better
|
Numerator 9 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.6% |
91.2%
4.6 pts worse
|
93.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 88.9% · Q3 84.2% · Q4 86.2% · 4Q avg 86.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.5% |
95.3%
12.8 pts worse
|
95.5%
13 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.0%
0.1 pts worse
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.6% · Q3 0.8% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.4% |
18.5%
12.1 pts better
|
11.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 4.2% · Q3 2.4% · Q4 4.8% · 4Q avg 6.4% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.1%
0.6 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.9% · Q3 6.2% · Q4 11.6% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.2% |
13.5%
7.3 pts better
|
19.6%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 4.8% · Q3 6.9% · Q4 5.4% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
14.8%
6.6 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.3% · Q3 7.3% · Q4 7.5% · 4Q avg 8.2% · 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 | 15.3% |
15.1%
0.2 pts worse
|
16.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 18.2% · Q3 9.2% · Q4 4.9% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
15.5%
0.6 pts worse
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 14.3% · Q3 10.5% · Q4 9.0% · 4Q avg 16.1% · 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 0.7% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 23.4% |
20.8%
2.6 pts worse
|
19.8%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 24.6% · Q3 22.9% · Q4 22.5% · 4Q avg 23.4% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.9%
0.5 pts better
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.6% · Q3 3.7% · Q4 5.0% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.0% |
76.7%
31.7 pts worse
|
81.7%
36.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 46.9% · Q3 45.9% · Q4 45.7% · 4Q avg 45.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.9% |
9.7%
7.2 pts worse
|
12.0%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 18.4% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.3% · Q3 1.3% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.9% |
78.8%
38.9 pts worse
|
79.7%
39.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% |
20.6%
9.1 pts worse
|
23.9%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 28.6% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Environmental (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2026-01-08
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-12-19
Fire Safety
Install proper backup exit lighting.
Corrected 2025-12-19
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 2025-12-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-12-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-12-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-08
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-12-19
Fire Safety
Use approved construction type or materials.
Corrected 2024-07-30
Fire Safety
Install proper backup exit lighting.
Corrected 2024-07-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-05
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 2024-08-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-05
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-07-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-07-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-07
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-07-05
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-07-05
Fire Safety
Use approved construction type or materials.
Corrected 2023-03-31
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 2023-03-31
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-03-31
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 2023-03-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-31
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-03-31
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-05
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-12-05
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-12-05
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2025-12-05
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-12-05
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 2025-12-05
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-12-05
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-12-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-05
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-12-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-05
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2025-12-05
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-08-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-05
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 2024-07-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-05
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-07-05
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-07-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-15
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 2023-10-16
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-15
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-03-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-31
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-31
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-03-31
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 2023-03-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-31
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-03-31
Penalties and ownership
Fine · fine $300,336
Fine
Fine · fine $72,466
Fine
Fine · fine $3,174
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
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