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Elderwood at Grand Island

2850 Grand Island Blvd, Grand Island, NY 14072 · Erie County · (716) 773-5900

90 certified beds, about 82 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1973

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335391 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 6, 2024, inspectors cited 5 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 7 health citations since December 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.

61.8% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Elderwood, an affiliated group of 17 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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
2F
Potential for minimal harm
0A
1B
0C
December 2, 2025Complaint inspection · 1 citation
  1. 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 31, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #2674904), the facility did not ensure that all alleged abuse violations were reported immediately but not later than two (2) hours after the allegation was made to the Administrator of the facility and to the State Survey Agency for one (1) (Resident #1) of three (3) residents reviewed. Specifically, staff did not report an allegation of physical abuse to the Administrator immediately which resulted in delayed reporting to the New York State Department of Health within the required time frames. The finding is: [...]
December 6, 2024Standard inspection · 5 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 30, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 12/06/24, the facility did not ensure the Director of Nursing served as a charge nurse, only when the facility had an average daily occupancy of 60 or fewer residents. Specifically, the Director of Nursing worked as a charge nurse when the facility had a daily average census of greater than 60. The finding is: Review of a facility provided document titled Director of Nursing, last revised 2/2024, revealed the Director of Nursing ensures the health and well-being of our residents by being responsible for oversight and operations of the nursing department and its staff including staffing, training, and development, and management of personnel. [...]
  2. F
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 12/6/24, the facility did not employ a qualified professional to furnish a specific service to be provided by the facility and the facility did not have that service furnished to residents by a person or agency outside the facility under an arrangement. Specifically, the facility did not have a dentist on their staff and did not have dental services provided by an outside person or agency under an arrangement. This had the potential to affect 78 of 78 residents. The finding is: The policy titled Dental Care Arrangements dated 6/18/18 documented routine or emergency dental services will be offered onsite on either staff or fee-for-services basis, as administered by or under either the personal or general supervision of a licensed and currently registered Dental consultant. [...]
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observations, record review, and interviews conducted during a Standard survey completed on 12/6/24, the facility did not ensure that all residents received services that provided reasonable accommodations of the resident's needs and preferences for one (Resident #1) of four residents reviewed. Specifically, the call system was not within reach as planned and unable to be used if desired. The finding is: The policy and procedure titled, Call Light/Call Bell/Nurse Call System with a revision date of 9/6/18, documented the Unit Manager/designee will ensure residents will be provided access to a call light when not in a common area of the facility, and the call light will be answered promptly by all nursing staff and unit clerks/designee when a resident signals for assistance. [...]
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 12/6/24, the facility did not develop a comprehensive person-centered care plan for each resident, consistent with the resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental, and psychosocial needs for one (Resident #18) of three residents reviewed for elopement. Specifically, Resident #18 was assessed as a high risk for elopement and did not have a comprehensive care plan developed with interventions to address their wandering and exit seeking behaviors. The finding is: [...]
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 12/11/24, the facility did not ensure that services being provided met professional standards of quality for one (Resident #37) of one resident reviewed. Specifically, provider orders were not implemented resulting in a delay in treatment. The finding is: Review of the policy titled Clinics and Consultations (dentist, podiatrist, optometrist, audiologist, other), last revised 03/19, documented designated staff will assist the resident in obtaining outside optometry services as ordered by a physician. The Unit Manager/Charge Nurse contacts the attending physician about the orders or recommendations of the consult. All onsite clinics are recorded in the nursing progress notes, including any recommendations from the medical consultant. [...]
May 3, 2023Standard inspection · 0 citations
December 6, 2021Standard inspection · 1 citation
  1. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2021
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 12/6/21, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) receives the necessary services to maintain grooming and personal hygiene. Specifically, two (Resident #13 and #25) of two residents reviewed for ADL's had long (#13) and dirty fingernails (#13, 25) during multiple observations.

Fire safety inspections

21 fire safety citations on file: 8 on December 6, 2024, 13 on May 3, 2023.

Every fire safety citation21 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 6, 2024 · Corrected (the home has a date of correction)
  2. E
    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 · December 6, 2024 · Corrected (the home has a date of correction)
  3. E
    Install proper backup exit lighting.
    K 281 · December 6, 2024 · Corrected (the home has a date of correction)
  4. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 6, 2024 · Corrected (the home has a date of correction)
  5. D
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · December 6, 2024 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · December 6, 2024 · Corrected (the home has a date of correction)
  7. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · December 6, 2024 · Corrected (the home has a date of correction)
  8. D
    Have simulated fire drills held at unexpected times.
    K 712 · December 6, 2024 · Corrected (the home has a date of correction)
  9. E
    Meet other general requirements.
    K 200 · May 3, 2023 · Corrected (the home has a date of correction)
  10. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 3, 2023 · Corrected (the home has a date of correction)
  11. 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 3, 2023 · Corrected (the home has a date of correction)
  12. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 3, 2023 · Corrected (the home has a date of correction)
  13. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 3, 2023 · Corrected (the home has a date of correction)
  14. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · May 3, 2023 · Corrected (the home has a date of correction)
  15. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 3, 2023 · Corrected (the home has a date of correction)
  16. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 3, 2023 · Corrected (the home has a date of correction)
  17. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · May 3, 2023 · Corrected (the home has a date of correction)
  18. E
    Ensure proper usage of power strips and extension cords.
    K 920 · May 3, 2023 · Corrected (the home has a date of correction)
  19. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 3, 2023 · Corrected (the home has a date of correction)
  20. D
    Install an approved automatic sprinkler system.
    K 351 · May 3, 2023 · Corrected (the home has a date of correction)
  21. D
    Have proper medical gas storage and administration areas.
    K 923 · May 3, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)3.183.633.86
Registered nurses0.950.710.69
All nursing staff on weekends2.703.183.42
Nurse aides1.74
Licensed practical nurses0.49
Nursing staff turnover (share who left in a year)61.8%40.3%45.8%
Registered nurse turnover50.0%39.8%42.9%
Administrators who left0

CMS expects 3.58 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 3.37 on weekdays and 2.70 on weekends, 20% 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 3.09 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.180.953.372.70 0.0%0 of 9082
Oct to Dec 20253.160.843.312.79 0.0%0 of 9281
Jul to Sep 20253.210.773.372.81 0.0%0 of 9283
Apr to Jun 20253.090.893.242.72 0.0%0 of 9183
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.

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.

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
20.614.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.31.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.012.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.26.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.413.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.420.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.89.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Elderwood at Grand Island's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.6% 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

49.6% this home

No different from 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. 126 eligible stays.

Potentially preventable readmissions

12.4% 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. 132 eligible stays.

Infections that led to a hospital stay

6.4% 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. 73 eligible stays.

Self-care and mobility at discharge

70.8% 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. 72 residents counted.

Falls with major injury

0.0% 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. 97 residents counted.

New or worsened pressure ulcers

4.9% 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. 97 residents counted.

Medication list given at discharge

100.0% 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. 61 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: 2850 GRAND ISLAND BOULEVARD OPERATING COMPANY LLC. CMS links this home to Elderwood, a group of 17 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Cole, Warren5% or greater direct ownership interestIndividual50%10/14/2011
Rubin, Jeffrey5% or greater direct ownership interestIndividual50%10/14/2011
Varma, PurtiW-2 managing employeeIndividual05/20/2021
Cole, WarrenOperational/managerial controlIndividual10/14/2011
Rubin, JeffreyOperational/managerial controlIndividual10/04/2011

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. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 6, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 2, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on December 6, 2024: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 6, 2024: "Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the New York average of 3.18.

Other nursing homes nearby

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 Elderwood at Grand Island's Medicare star rating?
CMS rates Elderwood at Grand Island 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elderwood at Grand Island get at its last inspection?
5 health deficiencies at the standard inspection on December 6, 2024. The New York average is 8.1.
Has Elderwood at Grand Island been fined?
CMS lists no fines in the last three years.
Does Elderwood at Grand Island 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 Elderwood at Grand Island?
CMS lists 5 owners and managers, and links the home to Elderwood. Legal business name: 2850 GRAND ISLAND BOULEVARD OPERATING COMPANY LLC.

Sources

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