10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Buffalo, NY
2-star overall rating with 2-star inspections with $10,489 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
300 Dorrance Avenue, Buffalo, NY
(716) 566-5252
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sapphire Care Group
Operator or chain grouping
Approved since
1983-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 2 overall / 2 health / 2 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
RN hours / resident day
0.57
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
2.05
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.47
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
13,398
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
5.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.19% · Performance 22.88% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.60% · Performance 8.57% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.79
Baseline 60.68% · Performance 56.36% · Measure score 1.79 · Achievement 1.79 · Improvement 0.71
Adjusted total nurse staffing
0.50
Baseline 2.77 hours · Performance 3.07 hours · Measure score 0.50 · Achievement 0 · Improvement 0.50
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.25% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 7.07% · Lower 95% interval 6.44% |
| Discharge to community | 40.47% |
50.57%
10.1 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 31.11% · Lower 95% interval 30.8% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 94.19% |
95.27%
1.1 pts worse
|
Numerator 146 · Denominator 155 |
| Falls with major injury | 2.58% |
0.77%
1.8 pts worse
|
Numerator 4 · Denominator 155 |
| Discharge self-care score | 58.93% |
53.69%
5.2 pts better
|
Numerator 66 · Denominator 112 |
| Discharge mobility score | 64.29% |
50.94%
13.4 pts better
|
Numerator 72 · Denominator 112 |
| Pressure ulcers or injuries, new or worsened | 2.58% |
2.29%
0.3 pts worse
|
Numerator 4 · Denominator 155 · Adjusted rate 2.48% |
| Healthcare-associated infections requiring hospitalization | 8.57% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 12.12% · Lower 95% interval 5.09% |
| Staff COVID-19 vaccination coverage | 1.29% |
8.2%
6.9 pts worse
|
Numerator 2 · Denominator 155 |
| Staff flu vaccination coverage | 37.25% |
42%
4.8 pts worse
|
Numerator 95 · Denominator 255 |
| Discharge function score | 77.68% |
56.45%
21.2 pts better
|
Numerator 87 · Denominator 112 |
| Transfer of health information to provider | 94.29% |
95.95%
1.7 pts worse
|
Numerator 33 · Denominator 35 |
| Transfer of health information to patient | 96.36% |
96.28%
0.1 pts better
|
Numerator 53 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 26.19% |
25.2%
1 pts better
|
Numerator 22 · Denominator 84 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 4.9 · Expected 4.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.3
0.4 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.9 · Expected 2.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.7% |
91.2%
8.5 pts worse
|
93.4%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.4% · Q2 82.5% · Q3 90.1% · Q4 92.6% · 4Q avg 82.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
95.3%
3.8 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.0%
1.9 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 1.1% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.5% |
18.5%
2 pts worse
|
11.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 21.3% · Q3 20.2% · Q4 11.0% · 4Q avg 20.5% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.1%
0.3 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.0% · Q3 8.2% · Q4 5.4% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.9% |
13.5%
0.4 pts worse
|
19.6%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 16.0% · Q3 12.4% · Q4 14.9% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
14.8%
0.7 pts worse
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 13.7% · Q3 14.7% · Q4 20.0% · 4Q avg 15.5% · 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 | 11.2% |
15.1%
3.9 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 5.5% · Q3 10.9% · Q4 13.2% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% |
15.5%
5 pts better
|
14.9%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 8.1% · Q3 14.5% · Q4 12.5% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 1.4% · 4Q avg 0.6% · 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 0.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% |
20.8%
2.8 pts worse
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 20.6% · Q3 31.8% · Q4 21.1% · 4Q avg 23.6% |
| 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 8.7% · Q2 8.0% · Q3 5.1% · Q4 11.8% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
76.7%
13.2 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 89.6% · Q3 85.8% · Q4 87.2% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.2% |
9.7%
5.5 pts better
|
12.0%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.9% · Expected 12.9% · 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 1.3% · Q2 1.5% · Q3 2.2% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.5% |
78.8%
13.7 pts better
|
79.7%
12.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
20.6%
0.8 pts worse
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 25.6% · Expected 28.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-02-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-02-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-02-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-02-04
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-15
Inspection history
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 2026-02-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-02-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-04
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 2026-02-04
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-04
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-04
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-02-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-19
Health
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.
Corrected 2025-03-19
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-19
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-06-11
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 2024-06-11
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-03-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-15
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-03-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-15
Penalties and ownership
Fine · fine $10,489
Fine
5% Or Greater Indirect Ownership Interest · Organization
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
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
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3-star overall rating with 2-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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