Cycle 1
Health 2024-10-28 · Fire 2024-10-28
20 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
22 fire-safety deficiencies
Top issue: Smoke (10 deficiencies)
Williamsville, NY
Williamsville Suburban, L L C
1-star overall rating with 1-star inspections with $43,973 in total fines with 20 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
163 South Union Road, Williamsville, NY
(716) 276-1900
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
220
Certified beds
Average residents
200
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-11-04
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
0.27
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.18
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
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
77%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,391
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.03% · Performance 21.47% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.67
Baseline 7.41% · Performance 6.14% · Measure score 5.67 · Achievement 5.67 · Improvement 4.77
Total nurse turnover
0
Baseline 57.97% · Performance 66.25% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.10
Baseline 2.96 hours · Performance 3.39 hours · Measure score 1.10 · Achievement 1.10 · Improvement 1.02
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.97% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 9.78% · Lower 95% interval 7.14% |
| Discharge to community | 40.9% |
50.57%
9.7 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 28.92% · Lower 95% interval 28.49% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 90.58% |
95.27%
4.7 pts worse
|
Numerator 125 · Denominator 138 |
| Falls with major injury | 0.72% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 138 |
| Discharge self-care score | 48.1% |
53.69%
5.6 pts worse
|
Numerator 38 · Denominator 79 |
| Discharge mobility score | 54.43% |
50.94%
3.5 pts better
|
Numerator 43 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 5.07% |
2.29%
2.8 pts worse
|
Numerator 7 · Denominator 138 · Adjusted rate 5.83% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 6.25% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 5.17% |
8.2%
3 pts worse
|
Numerator 9 · Denominator 174 |
| Staff flu vaccination coverage | 77.92% |
42%
35.9 pts better
|
Numerator 314 · Denominator 403 |
| Discharge function score | 58.23% |
56.45%
1.8 pts better
|
Numerator 46 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 36 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 9.72% |
25.2%
15.5 pts worse
|
Numerator 7 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · 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 1.9 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.5% |
91.2%
18.7 pts worse
|
93.4%
20.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.2% · Q2 66.9% · Q3 62.0% · Q4 85.1% · 4Q avg 72.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.4% |
95.3%
12.9 pts worse
|
95.5%
13.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.0%
1.2 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.7% · Q3 4.4% · Q4 2.9% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 78.9% |
18.5%
60.4 pts worse
|
11.4%
67.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.4% · Q2 91.2% · Q3 87.7% · Q4 73.3% · 4Q avg 78.9% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.1%
1.4 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 9.9% · Q3 4.6% · Q4 9.5% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% |
13.5%
9.2 pts worse
|
19.6%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 24.4% · Q3 26.3% · Q4 19.8% · 4Q avg 22.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
14.8%
13.5 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 39.8% · Q3 27.0% · Q4 17.4% · 4Q avg 28.3% · 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 | 9.8% |
15.1%
5.3 pts better
|
16.3%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 13.4% · Q3 10.9% · Q4 9.2% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
15.5%
4.7 pts better
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 11.5% · Q3 9.3% · Q4 12.8% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.6%
0.4 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 1.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.4%
0.6 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.8% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
20.8%
3.1 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 34.4% · Q3 28.1% · Q4 7.6% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 13.9% |
6.9%
7 pts worse
|
5.1%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 14.3% · Q3 15.5% · Q4 10.5% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 27.5% |
76.7%
49.2 pts worse
|
81.7%
54.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 33.5% · Q2 16.6% · Q3 17.6% · Q4 41.5% · 4Q avg 27.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
9.7%
2.9 pts worse
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 15.1% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.2%
1.2 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.0% · Q3 2.1% · Q4 4.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 17.2% |
78.8%
61.6 pts worse
|
79.7%
62.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 17.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% |
20.6%
8.3 pts worse
|
23.9%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 38.4% · Expected 31.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-17 · Fire 2023-03-17
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2021-05-06 · Fire 2021-05-06
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-28
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
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 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-18
D · Potential for more than minimal harm
2024-10-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-18
D · Potential for more than minimal harm
2024-10-28
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-12-18
C · Minimal harm
2024-10-28
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-12-18
C · Minimal harm
2024-10-28
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-12-18
E · Potential for more than minimal harm
2023-03-17
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-08
E · Potential for more than minimal harm
2023-03-17
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 2023-05-08
E · Potential for more than minimal harm
2023-03-17
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-05-08
E · Potential for more than minimal harm
2023-03-17
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-08
E · Potential for more than minimal harm
2023-03-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-17
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-05-08
E · Potential for more than minimal harm
2023-03-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-15
E · Potential for more than minimal harm
2023-03-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-08
E · Potential for more than minimal harm
2023-03-17
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-08
C · Minimal harm
2023-03-17
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-08
E · Potential for more than minimal harm
2021-05-06
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 2021-05-14
E · Potential for more than minimal harm
2021-05-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-25
E · Potential for more than minimal harm
2021-05-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-05-14
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-22
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-02-20
F · Potential for more than minimal harm
2025-12-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-20
E · Potential for more than minimal harm
2025-12-22
F584 · Resident Rights Deficiencies
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 2026-02-20
E · Potential for more than minimal harm
2025-12-22
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2026-02-20
D · Potential for more than minimal harm
2025-12-22
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 2026-02-20
D · Potential for more than minimal harm
2025-12-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-20
D · Potential for more than minimal harm
2025-12-22
F742 · Quality of Life and Care Deficiencies
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 2026-02-20
D · Potential for more than minimal harm
2025-12-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-20
C · Minimal harm
2025-12-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-20
E · Potential for more than minimal harm
2025-05-07
F584 · Resident Rights Deficiencies
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 2025-06-25
D · Potential for more than minimal harm
2025-05-07
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 2025-06-25
F · Potential for more than minimal harm
2024-10-28
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 2024-12-18
F · Potential for more than minimal harm
2024-10-28
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-18
E · Potential for more than minimal harm
2024-10-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-18
D · Potential for more than minimal harm
2024-10-28
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 2024-12-18
D · Potential for more than minimal harm
2024-10-28
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 2024-12-18
D · Potential for more than minimal harm
2024-10-28
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 2024-12-18
D · Potential for more than minimal harm
2024-10-28
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-12-18
D · Potential for more than minimal harm
2024-10-28
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-12-18
C · Minimal harm
2024-10-28
F575 · Resident Rights Deficiencies
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-12-18
D · Potential for more than minimal harm
2024-07-24
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 2024-09-05
G · Actual harm
2024-02-09
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-01-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-04
E · Potential for more than minimal harm
2023-03-17
F584 · Resident Rights Deficiencies
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 2023-05-01
E · Potential for more than minimal harm
2023-03-17
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-17
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-17
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-17
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-03-17
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 2023-05-01
D · Potential for more than minimal harm
2023-03-17
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 2023-05-01
D · Potential for more than minimal harm
2023-03-17
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-01
B · Minimal harm
2023-03-17
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 2023-05-01
E · Potential for more than minimal harm
2021-05-06
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-05-07
D · Potential for more than minimal harm
2021-05-06
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 2021-06-04
D · Potential for more than minimal harm
2021-05-06
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-06-11
Penalties and ownership
What sits behind the stars
$43,973
2024-01-24
Fine
Fine · fine $43,973
Fine
Ownership
Otterbein, Laura
5% Or Greater Direct Ownership Interest · Individual
Zacher, William
5% Or Greater Direct Ownership Interest · Individual
Goldman, David
Operational/Managerial Control · Individual
Goldman, David
Corporate Director · Individual
Nearby options
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#1
Comprehensive Rehab & Nursing Ctr At Williamsville
Williamsville, NY
1-star overall rating with 1-star inspections with $37,138 in total fines with 17 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
#2
Elderwood At Williamsville
Williamsville, NY
2-star overall rating with 2-star inspections with $75,553 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Canterbury Woods
Williamsville, NY
2-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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