Batavia, NY

Premier Genesee Center For Nrsg And Rehabilitation

2-star overall rating with 3-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

278 Bank Street, Batavia, NY

(585) 344-0584

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

148

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Jonathan Bleier

Operator or chain grouping

Approved since

1974-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 3 overall / 2 health / 3 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

Hours and turnover

RN hours / resident day

0.22

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.19

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.79

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.09

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.25

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,651

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

Performance score

43.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9963

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.78

Baseline 19.73% · Performance 17.82% · Measure score 7.78 · Achievement 7.78 · Improvement 6.56

Healthcare-associated infections

6.33

Baseline 7.18% · Performance 5.94% · Measure score 6.33 · Achievement 6.33 · Improvement 5.15

Total nurse turnover

1.30

Baseline 68.55% · Performance 60.69% · Measure score 1.30 · Achievement 0.73 · Improvement 1.30

Adjusted total nurse staffing

1.90

Baseline 3.46 hours · Performance 3.62 hours · Measure score 1.90 · Achievement 1.90 · Improvement 0.19

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.49%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 111 · Observed rate 10.81% · Lower 95% interval 7.22%
Discharge to community 32.74%
50.57%
17.8 pts worse
Worse than the National Rate · Eligible stays 118 · Observed rate 24.58% · Lower 95% interval 25.59%
Medicare spending per beneficiary 1.03
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 80 · Denominator 80
Falls with major injury 1.25%
0.77%
0.5 pts worse
Numerator 1 · Denominator 80
Discharge self-care score 66.67%
53.69%
13 pts better
Numerator 42 · Denominator 63
Discharge mobility score 68.25%
50.94%
17.3 pts better
Numerator 43 · Denominator 63
Pressure ulcers or injuries, new or worsened 1.25%
2.29%
1 pts better
Numerator 1 · Denominator 80 · Adjusted rate 1.32%
Healthcare-associated infections requiring hospitalization 5.94%
7.12%
1.2 pts better
No Different than the National Rate · Eligible stays 67 · Observed rate 2.99% · Lower 95% interval 2.79%
Staff COVID-19 vaccination coverage 80.95%
8.2%
72.8 pts better
Numerator 102 · Denominator 126
Staff flu vaccination coverage 69.23%
42%
27.2 pts better
Numerator 135 · Denominator 195
Discharge function score 65.08%
56.45%
8.6 pts better
Numerator 41 · Denominator 63
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 41 · Denominator 41
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 57.78%
25.2%
32.6 pts better
Numerator 26 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.7
0.1 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.3
0.2 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 2.0%
3.0%
1 pts better
3.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.7% · Q3 2.1% · Q4 2.9% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
18.5%
18.5 pts better
11.4%
11.4 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 who lose too much weight 7.4%
6.1%
1.3 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 3.6% · Q3 6.4% · Q4 9.8% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.1%
13.5%
3.6 pts worse
19.6%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 19.0% · Q3 18.3% · Q4 16.3% · 4Q avg 17.1%
Percentage of long-stay residents who received an antipsychotic medication 13.5%
14.8%
1.3 pts better
16.7%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 13.3% · Q3 13.7% · Q4 12.4% · 4Q avg 13.5% · 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 13.4%
15.1%
1.7 pts better
16.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 8.3% · Q3 23.0% · Q4 17.9% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
15.5%
1.6 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.4% · Q3 20.5% · Q4 16.1% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.6%
0.4 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.0% · 4Q avg 0.2% · 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 21.1%
20.8%
0.3 pts worse
19.8%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 23.0% · Q3 22.5% · Q4 14.0% · 4Q avg 21.1%
Percentage of long-stay residents with pressure ulcers 4.5%
6.9%
2.4 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.2% · Q3 3.6% · Q4 4.7% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
76.7%
23.3 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 8.5%
9.7%
1.2 pts better
12.0%
3.5 pts better
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 8.2% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
1.2%
0.7 pts worse
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.6% · Q3 1.8% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
78.8%
21.2 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.6%
20.6%
1 pts worse
23.9%
2.3 pts better
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 20.5% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-11 · Fire 2025-04-11

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-05-24 · Fire 2023-05-24

9 health deficiencies

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

17 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2021-11-03 · Fire 2021-11-03

7 health deficiencies

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

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-11

K211 · Egress Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2025-04-11

K223 · Egress Deficiencies

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 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

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 2025-06-06

E · Potential for more than minimal harm 2025-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-06

E · Potential for more than minimal harm 2023-05-24

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K211 · Egress Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2023-05-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

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 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

E · Potential for more than minimal harm 2023-05-24

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

E · Potential for more than minimal harm 2023-05-24

K531 · Services Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2023-05-24

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-05-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-07-20

E · Potential for more than minimal harm 2021-11-03

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

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 2021-12-30

E · Potential for more than minimal harm 2021-11-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

K531 · Services Deficiencies

Fire Safety

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

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-12-30

D · Potential for more than minimal harm 2021-11-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-12-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-11

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-11

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 2025-05-25

D · Potential for more than minimal harm 2025-04-11

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-02-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-21

E · Potential for more than minimal harm 2023-05-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-05-24

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-05-24

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 2023-06-30

D · Potential for more than minimal harm 2023-05-24

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 2023-07-20

D · Potential for more than minimal harm 2023-05-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-05-24

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-05-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-30

B · Minimal harm 2023-05-24

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-07-20

E · Potential for more than minimal harm 2021-11-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2021-12-30

E · Potential for more than minimal harm 2021-11-03

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 2021-12-30

E · Potential for more than minimal harm 2021-11-03

F725 · Nursing and Physician Services Deficiencies

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 2021-12-30

D · Potential for more than minimal harm 2021-11-03

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2021-12-30

D · Potential for more than minimal harm 2021-11-03

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 2021-12-30

D · Potential for more than minimal harm 2021-11-03

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 2021-12-30

D · Potential for more than minimal harm 2021-11-03

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2021-12-30

Penalties and ownership

What sits behind the stars

Ownership

Bleier, Jonathan

5% Or Greater Direct Ownership Interest · Individual

38% 18 facilities 2015-04-20
Sod, Yaakov

5% Or Greater Direct Ownership Interest · Individual

38% 13 facilities 2015-04-20
Bleier, Jonathan

Corporate Officer · Individual

0% 18 facilities 2014-10-09
Maliangos, Nicolet

Operational/Managerial Control · Individual

0% 5 facilities 2015-04-20
Zeames, Sharon

W-2 Managing Employee · Individual

0% 2 facilities 2017-01-01

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