Federal inspection record · CMS data as of October 1, 2026
The Villages of Orleans Health and Rehabilitation
14012 Route 31, Albion, NY · (585) 589-5637
- Certified beds
- 120
- Residents per day
- 116
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
The Villages of Orleans Health and Rehabilitation carries 84.75 inspection points. That is fewer than 18% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care5E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary5E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Resident Rights4E
- E
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.
- D
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.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
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.
Nursing and Physician Services2C
- C
Observe each nurse aide's job performance and give regular training.
- B
Post nurse staffing information every day.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspection history
2025-01-31
14 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-07-21
7 health deficiencies · 15 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2021-10-25
5 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 35 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$71,112 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-12 | Fine | $71,112 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.1 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 97.8% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 99.2% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 13.5% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 5.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse | 14.4% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.2 pts worse | 28.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better | 9.9% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 13.9% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse | 27.7% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 6.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.9 pts worse | 54.7% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.4 pts worse | 18.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.2 pts worse | 67.7% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts better | 17.0% | 20.6% | 23.4% |
·
Who owns and runs it
1 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Flugel, Eric | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
39 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke18E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Egress7E
- E
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- E
Install proper backup exit lighting.
- E
Have properly located and lighted "Exit" signs.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Gas, Vacuum, and Electrical Systems5E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Construction4E
- E
Meet other general requirements.
- E
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- E
Meet other general requirements.
- E
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Miscellaneous3E
- E
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- E
Have simulated fire drills held at unexpected times.
Emergency Preparedness1C
- C
Establish staff and initial training requirements.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Orchard Rehabilitation & Nursing Center
Medina, NY · Personal Healthcare Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Medina Memorial Hospital SNF
Medina, NY
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Absolut Center for Nursing and Rehabilitation at G
Gasport, NY · Absolut Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
- $8,281