Kenmore, NY

Schofield Residence

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

3333 Elmwood Avenue, Kenmore, NY

(716) 874-1566

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

103

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.31

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.64

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.05

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

3.37

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

4.12

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,122

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

Performance score

21.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.66

Baseline 18.44% · Performance 21.12% · Measure score 0.66 · Achievement 0.66 · Improvement 0

Healthcare-associated infections

5.31

Baseline 5.51% · Performance 6.25% · Measure score 5.31 · Achievement 5.31 · Improvement 0

Total nurse turnover

0

Baseline 68.85% · Performance 69.06% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.58

Baseline 3.47 hours · Performance 3.81 hours · Measure score 2.58 · Achievement 2.58 · Improvement 0.98

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.64%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 114 · Observed rate 7.02% · Lower 95% interval 6.62%
Discharge to community	48.3%	50.57% 2.3 pts worse	No Different than the National Rate · Eligible stays 114 · Observed rate 42.11% · Lower 95% interval 41.27%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 48 · Denominator 48
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 48
Discharge self-care score	66.67%	53.69% 13 pts better	Numerator 26 · Denominator 39
Discharge mobility score	64.1%	50.94% 13.2 pts better	Numerator 25 · Denominator 39
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 48 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.25%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 3.33% · Lower 95% interval 3.67%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 116
Staff flu vaccination coverage	39.66%	42% 2.3 pts worse	Numerator 161 · Denominator 406
Discharge function score	64.1%	56.45% 7.6 pts better	Numerator 25 · Denominator 39
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	97.44%	96.28% 1.2 pts better	Numerator 38 · Denominator 39
Resident COVID-19 vaccinations up to date	71.43%	25.2% 46.2 pts better	Numerator 20 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	91.2% 8.2 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 100.0% · Q4 98.8% · 4Q avg 99.4%
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	2.7%	3.0% 0.3 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.1% · Q3 3.4% · Q4 5.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	18.5% 16.6 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 1.2% · Q4 2.6% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	3.7%	6.1% 2.4 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.8% · Q3 2.4% · Q4 1.6% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.5%	13.5% 2 pts better	19.6% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 10.5% · Q3 8.2% · Q4 13.0% · 4Q avg 11.5%
Percentage of long-stay residents who received an antipsychotic medication	10.8%	14.8% 4 pts better	16.7% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.0% · Q3 10.1% · Q4 10.4% · 4Q avg 10.8% · 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	41.6%	15.1% 26.5 pts worse	16.3% 25.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 41.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.2%	15.5% 2.7 pts worse	14.9% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 17.1% · Q3 20.0% · Q4 15.6% · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.4%	1.4% 1 pts worse	1.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 6.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	32.9%	20.8% 12.1 pts worse	19.8% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 46.8% · Q3 28.3% · Q4 27.2% · 4Q avg 32.9%
Percentage of long-stay residents with pressure ulcers	8.2%	6.9% 1.3 pts worse	5.1% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.1% · Q3 11.1% · Q4 7.2% · 4Q avg 8.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	76.7% 19.5 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 93.9% · Q3 95.2% · Q4 98.9% · 4Q avg 96.2%
Percentage of short-stay residents who had an outpatient emergency department visit	6.8%	9.7% 2.9 pts better	12.0% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.8% · Expected 11.2% · 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 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.5%	78.8% 15.7 pts better	79.7% 14.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.0%	20.6% 12.4 pts worse	23.9% 9.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.0% · Observed 28.8% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-07-12 · Fire 2023-07-12

6 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-09-22 · Fire 2021-09-22

4 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-08

E · Potential for more than minimal harm 2025-04-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-08

E · Potential for more than minimal harm 2025-04-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-06-08

E · Potential for more than minimal harm 2025-04-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-08

D · Potential for more than minimal harm 2025-04-09

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-08

E · Potential for more than minimal harm 2023-07-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-09-10

E · Potential for more than minimal harm 2023-07-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-10

C · Minimal harm 2023-07-12

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-09-10

E · Potential for more than minimal harm 2021-09-22

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 2021-11-20

E · Potential for more than minimal harm 2021-09-22

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-11-20

E · Potential for more than minimal harm 2021-09-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-11-20

E · Potential for more than minimal harm 2021-09-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-11-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-09

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-08

D · Potential for more than minimal harm 2025-04-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-08

D · Potential for more than minimal harm 2025-04-09

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 2025-06-08

D · Potential for more than minimal harm 2025-04-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-08

D · Potential for more than minimal harm 2025-04-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-06-08

D · Potential for more than minimal harm 2024-12-27

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 2025-02-25

D · Potential for more than minimal harm 2023-07-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-07-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-07-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-07-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-10

C · Minimal harm 2023-07-12

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-09-10

E · Potential for more than minimal harm 2021-09-22

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2021-11-20

E · Potential for more than minimal harm 2021-09-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2021-11-20

D · Potential for more than minimal harm 2021-09-22

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 2021-11-21

D · Potential for more than minimal harm 2021-09-22

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-11-21

Penalties and ownership