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Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave, Buffalo, NY 14209 · Erie County · (716) 883-6782

200 certified beds, about 187 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335638 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 17, 2025, inspectors cited 12 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 36 health citations since October 2022, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $139,721 in the last three years; the largest was $103,243, and the latest is dated November 12, 2025.

Nurses and nurse aides worked 4.22 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

60.2% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Centers Health Care, an affiliated group of 36 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
1H
0I
Potential for more than minimal harm
19D
10E
1F
Potential for minimal harm
0A
1B
2C
November 12, 2025Complaint inspection · 5 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Survey (Complaint #2656144), the facility failed to protect residents from verbal and mental abuse by staff for one (1) (Resident #1) of six (6) residents reviewed for abuse. Specifically, on 10/29/2025, it was observed that Certified Nurse Aide #2 yelled at Resident #1 in a harsh, demeaning tone for urinating on themselves and their surroundings. Certified Nurse Aide #2 then verbally threatened the resident they were going to get moved to another floor. After the verbally abusive encounter, Resident #1 was tearful and appeared saddened. Using the reasonable person concept, as referenced in the Centers for Medicare and Medicaid Services Psychosocial Outcome Severity guide, it was determined psychosocial harm occurred that is not Immediate Jeopardy. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on interview and record review conducted during an Abbreviated survey (Complaint #2624947) the facility did not ensure that each resident received adequate supervision and assistive devices to prevent accidents for one (1) (Resident #4) of four (4) residents reviewed for accidents. Specifically, Resident #4 was not provided with total assistance of two (2) staff members for bed mobility as per the comprehensive plan of care resulting in the resident falling from their bed, sustaining a multilayered facial laceration (deep gash in multiple tissue layers) to their left cheek and swelling to their left eye. Resident #4 was transferred to the hospital and required surgical repair of the laceration. This resulted in actual harm to Resident #4 that is not Immediate Jeopardy. This finding is: [...]
  3. D
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    F573 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on interview, and record review conducted during a Complaint investigation (2606688) completed on 11/12/2025, the facility did not allow the resident and resident's legal representative to obtain a copy of the resident's medical records or any portion thereof upon request and 2 working days advance notice to the facility for one (1) (Resident #2) of three (3) residents reviewed for medical record access. Specifically, Resident #2 submitted a written request for their medical records to be released to their Health Care Proxy on 08/04/2025 and the facility never released their records. The finding is:The policy titled Release of Information, revised 9/2019, documented residents may initiate a request to release information contained in their records and charts to anyone they wish. [...]
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on interview and record review conducted during an Abbreviated survey (Complaint #2587167) the facility did not ensure that all alleged violations involving abuse and mistreatment are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse, to other officials (including to the State Survey Agency) for one (1) (Resident #3) of three (3) residents reviewed. Specifically, allegations of resident abuse were not reported no later than 2 hours to the New York State Department of Health. The finding is: A policy titled Abuse revised 07/18/2025 documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients and misappropriation of resident/patient property by anyone including but not limited to staff, family, friends and residents of the facility. [...]
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on interview and record review conducted during an Abbreviated survey (Complaint #2587167) the facility did not ensure that all alleged violations of abuse were thoroughly investigated for one (1) (Resident #3) of three (3) residents reviewed. Specifically, the Administrator received an allegation of abuse through an e-mail on 09/30/2025, at 8:08 PM from Resident #3's Health Care Proxy Agent that was not investigated. The finding is: A policy titled Abuse revised 07/18/2025, documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients and misappropriation of resident/patient property by anyone including but not limited to staff, family, friends and residents of the facility. [...]
July 1, 2025Complaint inspection · 4 citations
  1. H
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Partial Extended survey (Complaint #NY00383127), the facility failed to protect residents from sexual and mental abuse by staff for four (4) (Residents #1, #2, #3, and #4) of six (6) residents reviewed for abuse. Specifically, Certified Nurse Aide #1 took personal photographs of heavily soiled incontinent residents in various stages of undress without their consent, including some with their buttocks and genitalia exposed. The photographs were posted on social media along with text messages and descriptions of the lack of resident care. [...]
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Partial Extended survey (Complaint #NY00383127) the facility was not administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility must operate and provide services in compliance with all applicable Federal, State, and local laws and regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. The facility must have a governing body, or designated persons functioning as a governing body, that is legally responsible for establishing and implementing policies regarding the management and operation of the facility; [...]
  3. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00383127) the facility did not ensure that all alleged violations involving abuse and mistreatment are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse, to other officials (including to the State Survey Agency) for four (4) (Resident #1, #2, #3, and #4) of four (4) residents reviewed. Specifically, allegations of resident abuse were not reported within 2 hours to the New York State Department of Health and law enforcement agencies. The finding is: The policy and procedure titled Abuse dated 6/2024 documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients by anyone including but not limited to staff, family, friends, and residents of the facility. [...]
  4. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on interview and record review conducted during a Complaint investigation (#NY00383127), the facility did not ensure that all alleged violations of abuse and neglect were thoroughly investigated for four (4) (Resident #1, #2, #3, #4) of four (4) residents reviewed. Specifically, there was a lack of employee and resident interviews and statements to rule out abuse regarding a post on social media containing allegations against the facility and pictures of residents in the state of undress. The finding is: The policy and procedure titled Abuse dated 6/2024 documented allegations/reports of suspected abuse, neglect, mistreatment, distortion, injury of unknown etiology or misappropriation shall be promptly and thoroughly investigated by facility management. The Administrator and Director of Nursing are responsible for investigation and reporting. Initiate the investigative process. [...]
June 17, 2025Standard inspection, Complaint inspection · 12 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review during a complaint investigation (#NY00382491) conducted during a Recertification survey completed 6/17/25, the facility did not provide a safe, clean, comfortable and homelike environment for two (Second Floor and Third Floor) of three resident units. Specifically, there were dirty community shower room chairs and floors, dirty resident medical equipment (feeding poles); unlabeled and inappropriately stored personal hygiene products and care items in shower rooms and in resident rooms. In addition, offensive odors were noted in and outside of the soiled linen room.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview and record review conducted during a Standard survey completed 6/17/25, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and a comfortable environment, to help prevent the development and transmission of communicable diseases and infections for five (5) (Residents #165, #173, #381, #382 and #387) of seven (7) residents observed for Enhanced Barrier Precautions (interventions designed to reduce transmission of multi-drug-resistant organisms including gown and glove use during high contact resident care activities). Specifically, staff did not maintain enhanced barrier precautions and wear the appropriate personal protective equipment while providing direct care for residents with a feeding tube (#173, #381); urinary catheter (#382); [...]
  3. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review during a Complaint Investigation (Complaint #NY00381783) conducted during the Standard survey completed on 6/17/25, the facility did not maintain an effective pest control program so that the facility was free from insects. Specifically, three (3) (Second Floor, Third Floor, and Fourth Floor) of three (3) resident units had issues with many flies observed throughout the facility.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on [DATE], the facility did not ensure that each resident was treated with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for two (2) (Resident #20, #47) of six (6) reviewed for dignity. Specifically, flies were observed were observed crawling on the residents' (faces, arms, legs) and their bed linens. The finding is: The policy and procedure titled Quality of Life/Dignity last revised 5/2024 documented each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. Residents shall be treated with dignity and respect at all times. [...]
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 6/17/25, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for one (1) (Resident #14) of two (2) residents reviewed. Specifically, Resident #14 was observed with dirty long fingernails and unwanted/unkempt facial hair. The finding is: The policy and procedure titled Activities of Daily Living (ADL) Care and Support dated 2/28/25 documented the facility shall provide residents with activities of daily living care and support in accordance with current standards of practice, state and federal regulations and are based on the resident's assessed needs, personal preference and goals of care. [...]
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 6/17/25 the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for (3) three (Residents #47, #111, and #173) of five (5) residents reviewed. Specifically, weights were not obtained as recommended by the Registered Dietician and as ordered by the physician (#111 and #173). In addition, surgical staples were not removed as ordered by the physician (#47).
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 6/17/25, the facility did not ensure that residents who had an indwelling foley catheter (tube inserted into the bladder to drain urine) received appropriate care and services to manage catheters for two (2) (Residents #47 and Resident #382) of three (3) residents reviewed. Specifically, staff improperly emptied the urinary drainage bag (used to collect urine) (Resident #382); did not ensure the tubing and urinary catheter drainage bag remained off the floor and there was lack of monitoring urine output (Residents #47 and #382). Additionally, Resident #47 lacked an order for a urinary catheter.
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 6/17/25 the facility did not ensure that a resident who was fed by enteral means (method of feeding that uses the gastrointestinal (GI) tract to deliver part or all a person's caloric requirements) received the appropriate treatment and services to prevent possible complications for one (1) (Resident #381) of two (2) residents reviewed for feeding tubes. Specifically, the facility did not provide the tube feed as ordered. The finding is: The policy and procedure titled Enteral Nutrition reviewed 6/2023 documented Dietary-Nursing Nutritional support would be provided to residents unable to obtain nourishment orally and are receiving enteral feeding ordered by a physician. [...]
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review during a Complaint investigation (Complaint #NY00378534) conducted during a Recertification survey completed 6/17/25, the facility did not ensure that pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals) met the needs of each resident for two (2) (Resident #s 380 and #391) of two (2) residents reviewed. Specifically, Resident #380 was not administered doses of their antibiotic medication and there was a delay in acquiring, receiving, and administering Resident #391's medications upon admission.
  10. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on interview and record review conducted during the Onsite Post Survey Revisit #1 completed on 09/04/2025, the facility did not ensure that the Quality Assurance Performance Improvement Program (QAPI) Committee developed and implemented appropriate plans of action to correct identified quality deficiencies and regularly reviewed, analyzed, and acted on available data to make improvements. Specifically, the Quality Assurance Performance Improvement Program Committee could not provide evidence that all licensed nurses were reeducated regarding the enteral tube feed administration and the use of enteral feeding pump(s) (method of feeding that uses the gastrointestinal tract to deliver part or all a person's caloric requirements) as stated in their plan of correction.
  11. C
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on interview and record review conducted during a Standard survey completed on 6/17/25, it was determined that the facility did not ensure that a comprehensive assessment of a resident in accordance with the specified timeframes from the Centers of Medicare and Medicaid Services including not less than every 12 months. Specifically, 16 (#4, 11, 14, 15, 18, 35, 90, 93, 114, 128, 154, 152, 160, 161, 173 and 381) of 16 residents did not have a comprehensive assessment completed within required time frames.
  12. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, interview, and record review, conducted during the Standard survey completed on 6/17/25, the facility did not ensure the nursing staff information was posted on a daily basis and contained the required information. Specifically, the facility did not complete and update the form, each shift, to include an accurate resident census, and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care, including Registered Nurses, Licensed Practical Nurses and Certified Nurse Aides. The finding is: The policy titled Staffing-Posting of Hours, Payroll Based Journal Submission, last revised 10/2022, documented direct care hours should be posted on a daily basis at the beginning of each shift. [...]
April 11, 2025Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Abbreviated Survey (Complaint #NY00364627), the facility did not ensure that each resident was treated with respect and dignity in an environment that promotes maintenance or enhancement of his or her quality of life; recognizing each resident's individuality and protect and promote the rights of the residents for three (3) (Resident #1, 2, & 3) of three (3) reviewed. Specifically, an altercation amongst staff occurred in front of residents, was recorded and posted on social media. The finding is: The policy and procedure titled Quality of Life/Dignity dated 5/2024 documented each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect, and individuality. Residents shall be always treated with respect and dignity. Residents private space shall be respected at all times. [...]
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on interview and record review conducted during a Complaint (#NY00375418) investigation, it was determined the facility did not ensure that all violations of abuse are thoroughly investigated for one (1) (Resident #4) of three (3) residents reviewed. Specifically, Resident #4 had an injury of unknown origin that was not thoroughly investigated. The finding is: A policy and procedure titled Abuse dated 12/2022 documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients and misappropriation of resident/patient property by anyone including but not limited to staff, family, friends and residents of the facility. [...]
May 7, 2024Standard inspection · 3 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 25, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 5/7/24, the facility did not ensure that the residents' environment remained as free from accident hazards as possible. Specifically, four (First Floor, Second Floor, Third Floor, Fourth Floor) of four resident use floors had issues with water temperatures that exceeded 120 degrees Fahrenheit.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 25, 2024
    Inspectors wroteBased on observation, interview and record review conducted during the Standard survey completed on 5/7/24, the facility did not obtain the services of a licensed pharmacist that was involved with all aspects of the provision of pharmacy services in the facility; the facility did not establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation; did not determine that drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled for one (discontinued narcotic storage closet) of three medication storage rooms and five (second floor A and B wings, third floor A and B wings, and fourth floor C wing) of eight narcotic reconciliation books reviewed. [...]
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 25, 2024
    Inspectors wroteBased on interview and record review conducted during a Standard survey completed on 5/7/24, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for one (Resident #63) of three residents reviewed for infection. Specifically, Resident #63 did not have weekly blood tests completed as recommended per the hospital discharge summary and the facility Medical Director. In addition, there was no care plan developed for the use of an intravenous midline catheter (tubing that is inserted into a vein for the delivery of medications and/or fluids).
October 18, 2022Standard inspection · 10 citations
  1. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on interview and record review conducted during the Standard survey started on 10/12/22 completed 10/18/22, the facility did not ensure that each resident's drug regimen is free from unnecessary drugs. An unnecessary drug is any drug when used in excessive dose or duration, without adequate monitoring, without adequate indication, in the presence of adverse consequences and in any combination as stated. Specifically, one (Resident #10) of six residents reviewed for unnecessary medications was treated with an antibiotic for an excessive duration, without adequate indication for its continued use. The finding is: Review of facility policy and procedure (P&P) titled Urinary Tract Infection (UTI) revised 12/19 documented the facility provides the highest quality of care using most up to date clinical standards. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard Survey that was started on 10/12/22 and completed on 10/18/22, the facility did not store and distribute food in accordance with professional standards for food service safety. Specifically, three (Second, Third, and Fourth Floors) of three Resident Unit Nourishment refrigerators contained unlabeled, undated, and outdated food.
  3. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on interview and record review conducted during a Standard survey started on 10/12/22 and completed on 10/18/22, it was determined that the facility did not implement an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use. Specifically, one (Resident #10) of one resident reviewed for antibiotic stewardship program revealed the resident was receiving Macrobid (an antibiotic) since 8/4/21 as a urinary tract infection prophylaxis (prevention) without documented evidence for its continued use, appropriate indications for its use, and a lack of monitoring and tracking its use. The finding is: Review of the P&P titled Antibiotic Stewardship, revised 12/19, documented antibiotics will be prescribed and administered to residents under the guidance of the facility's Antibiotic Stewardship Program. [...]
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on interview and record review during a complaint investigation (Complaint #NY00296367) completed during a Standard survey started 10/12/22 and completed on 10/18/22, the facility did not ensure that all alleged violations including abuse are reported immediately, but not later than 2-hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, to the appropriate officials (including the State Survey Agency). Specifically, two (Residents #49 and 46) of five residents reviewed for abuse were involved in a resident-to-resident altercation which was not reported timely to the Administrator and to the New York State (NYS) Department of Health (DOH) as required. The finding is: [...]
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on observation, interview and record review conducted during a Standard Survey started 10/12/22 and completed 10/18/22, the facility did not ensure that a resident who enters the facility with an indwelling catheter (Foley- tube inserted into the bladder to drain urine) or subsequently receives one is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary. Specifically, for one (Resident #195) of one resident the facility did not assess for removal of the catheter and did not have the resident follow up with Urology as recommended by the hospital and as ordered by the facility physician. The finding is: The facility policy titled Physician - Consultation revised 8/2019 documented; it is the policy of this organization to ensure all residents receive medical care in a timely manner. [...]
  6. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started on 10/12/22 and completed on 10/18/22, the facility did not ensure that a resident who is fed by enteral means (method of feeding that uses the gastrointestinal (GI) tract to deliver part or all a person's caloric requirements) receives the appropriate treatment and services to prevent possible complications for one (Resident #88) of two residents reviewed for feeding tubes. Specifically, the facility did not administer the tube feed formula as ordered by the physician. In addition, the nursing staff documented the formula was administered as ordered. The finding is: [...]
  7. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started 10/12/22 and completed 10/18/22, the facility did not ensure that drug records were in order; and that an account of all controlled drugs was maintained and periodically reconciled on one (Unit 4) of two units reviewed. Specifically, the facility did not ensure the control substance book included a control count sheet for Lorazepam (Ativan, anti-anxiety medication) injectable solution to validate the correct count since 4/19/22. This involved Resident #4. The finding is: The facility policy and procedure (P&P) titled Controlled Substances revised 10/2018 documented the facility shall comply with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of Schedule II and other controlled substances. [...]
  8. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on interview and record review conducted during the Standard survey started on 10/12/22 and completed on 10/18/22, the facility did not ensure that the pharmacist reported irregularities to the attending physician, the facility's Medical Director and the Director of Nursing (DON), and that these reports were acted upon for two (Resident #10 and #27) of six residents reviewed for drug regimen reviews. Specifically, for Resident #10 recommendations made on 4/13/22 and Resident #27 recommendations made on 5/23/22, were not addressed by the Physician and the Pharmacist did not follow up on the recommendations.
  9. D
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started 10/12/22 and completed 10/18/22, the facility did not maintain an infection prevention and control program to ensure the health and safety of residents to help present the transmission of COVID-19. Specifically, the COVID-19 Swabber/Receptionist did not utilize appropriate personal protective equipment (PPE) (a N-95 mask and eye protection) while collecting COVID-19 specimens for two (Physical Therapist (PT) and Certified Nurse Aide (CNA) #3) of two employees observed. The finding is: [...]
  10. B
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2022
    Inspectors wroteBased on interview and record review conducted during the Standard survey started 10/12/22 and completed 10/18/22, the facility did not provide the appropriate liability and appeal notices to Medicare beneficiaries at the termination of Medicare coverage for three (Residents #158, 181, and 446) of three residents reviewed. Specifically, the facility did not provide responsible party (RP) with a Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) and a Notice of Medicare Non-Coverage (NOMNC) (#181), the facility did not provide a valid SNF ABN to the resident and/or RP (#158), and the facility did not provide a NOMNC to the resident and/or RP (#446).

Fire safety inspections

23 fire safety citations on file: 7 on June 17, 2025, 16 on May 7, 2024.

Every fire safety citation23 citations
  1. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 17, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 17, 2025 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 17, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 17, 2025 · Corrected (the home has a date of correction)
  5. E
    Have simulated fire drills held at unexpected times.
    K 712 · June 17, 2025 · Corrected (the home has a date of correction)
  6. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 17, 2025 · Corrected (the home has a date of correction)
  7. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 17, 2025 · Corrected (the home has a date of correction)
  8. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 7, 2024 · Corrected (the home has a date of correction)
  9. E
    Install proper backup exit lighting.
    K 281 · May 7, 2024 · Corrected (the home has a date of correction)
  10. E
    Have properly located and lighted "Exit" signs.
    K 293 · May 7, 2024 · Corrected (the home has a date of correction)
  11. E
    Have an enclosure around a vertical opening shaft.
    K 311 · May 7, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 7, 2024 · Corrected (the home has a date of correction)
  13. E
    Provide properly protected cooking facilities.
    K 324 · May 7, 2024 · Corrected (the home has a date of correction)
  14. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 7, 2024 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 7, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 7, 2024 · Corrected (the home has a date of correction)
  17. E
    Provide a written emergency evacuation plan.
    K 711 · May 7, 2024 · Corrected (the home has a date of correction)
  18. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 7, 2024 · Corrected (the home has a date of correction)
  19. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · May 7, 2024 · Corrected (the home has a date of correction)
  20. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 7, 2024 · Corrected (the home has a date of correction)
  21. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · May 7, 2024 · Corrected (the home has a date of correction)
  22. D
    Have exits that are accessible at all times.
    K 271 · May 7, 2024 · Corrected (the home has a date of correction)
  23. D
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · May 7, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 12, 2025Fine $36,478
June 17, 2025Fine $103,243

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)4.223.633.86
Registered nurses0.520.710.69
All nursing staff on weekends3.773.183.42
Nurse aides2.70
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)60.2%40.3%45.8%
Registered nurse turnover80.0%39.8%42.9%
Administrators who left1

CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.40 on weekdays and 3.77 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.31 in April to June 2025 to 4.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.220.524.403.77 0.0%0 of 90187
Oct to Dec 20254.320.494.523.80 0.0%0 of 92183
Jul to Sep 20254.250.414.563.44 0.0%0 of 92189
Apr to Jun 20254.310.374.663.45 0.0%0 of 91188
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Buffalo Center for Rehabilitation and Nursing. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.914.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.212.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.56.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.613.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.120.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.19.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Buffalo Center for Rehabilitation and Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (31.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

31.5% this home

Worse than the national rate

US median of homes 51.5% · New York: 101 better, 157 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 98 eligible stays.

Potentially preventable readmissions

9.9% this home

No different from the national rate

US median of homes 10.7% · New York: 12 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 95 eligible stays.

Infections that led to a hospital stay

9.3% this home

No different from the national rate

US median of homes 7.1% · New York: 7 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 69 eligible stays.

Self-care and mobility at discharge

50.0% this home

Median of homes: New York60.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 64 residents counted.

Falls with major injury

2.7% this home

Median of homes: New York0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 110 residents counted.

New or worsened pressure ulcers

0.9% this home

Median of homes: New York2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 110 residents counted.

Medication list given at discharge

93.3% this home

Median of homes: New York98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 30 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: DELAWARE OPERATIONS ASSOC LLC. CMS links this home to Centers Health Care, a group of 36 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Sicklick, Jeffrey5% or greater direct ownership interestIndividual10%12/17/2015
Goldman, NathanManaging control - governing bodyIndividual01/01/2025
Hendrix, HeidiManaging control - governing bodyIndividual01/01/2025
Lantzitsky, AharonManaging control - governing bodyIndividual01/01/2025
Rozenberg, KennethManaging control - governing bodyIndividual01/01/2025
Mikac, RyanOperational/managerial controlIndividual10/01/2020
Peterson, JoOperational/managerial controlIndividual08/18/2025
Mikac, RyanAdp of the SNFIndividual10/01/2020
Peterson, JoAdp of the SNFIndividual08/18/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on November 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 8 problems in this area, most recently on November 12, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on November 12, 2025: "Let each resident or the resident's legal representative access or purchase copies of all the resident's records."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 17, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Assisted living in Buffalo

Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.

Assisted living in New York

New York contacts for a concern about a nursing home

These are the official offices in New York. NursingHomeClear cannot take or act on complaints.

Common questions

What is Buffalo Center for Rehabilitation and Nursing's Medicare star rating?
CMS rates Buffalo Center for Rehabilitation and Nursing 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Buffalo Center for Rehabilitation and Nursing get at its last inspection?
12 health deficiencies at the standard inspection on June 17, 2025. The New York average is 8.1.
Has Buffalo Center for Rehabilitation and Nursing been fined?
Yes. CMS lists 2 fines totaling $139,721 in the last three years.
Does Buffalo Center for Rehabilitation and Nursing accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Buffalo Center for Rehabilitation and Nursing?
CMS lists 9 owners and managers, and links the home to Centers Health Care. Legal business name: DELAWARE OPERATIONS ASSOC LLC.

Sources

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