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Williamsville Suburban, L L C

193 South Union Road, Williamsville, NY 14221 · Erie County · (716) 276-1900

220 certified beds, about 209 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335647 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 28, 2024, inspectors cited 9 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 37 health citations since May 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $43,973 in the last three years; the largest was $43,973, and the latest is dated December 22, 2025.

Nurses and nurse aides worked 3.30 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

57.1% of nursing staff left within the year CMS measured (New York average 40.3%).

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 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
18D
11E
4F
Potential for minimal harm
0A
1B
2C
July 31, 2026Complaint inspection · 1 citation
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has August 26, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during a survey the facility did not ensure that food and drink was palatable, attractive and served at appetizing and optimal temperatures for one (1) (second floor South) of one (1) test tray. Specifically, during the lunch meal, food and beverages were served at suboptimal temperatures and were not palatable. Residents #10, 11, 12, 13 and 14 were involved.
December 22, 2025Complaint inspection · 9 citations
  1. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during complaint investigations (2657322, 26853730) the facility did not ensure that food and drink was palatable, attractive and served at an appetizing temperature for two (2) (North and South) of two (2) buildings and at optimal temperatures for one (1) (second floor South) of one (1) test tray. Specifically, during the lunch meal, food and beverages were served at suboptimal temperatures and were not palatable. Residents #3, #4, #6, #7, #11, #13, and #17 were involved.
  2. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review during an Abbreviated survey (Complaint #2637850) the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This affected the Main Kitchen and two (2) (Second Floor and Third Floor) of two (2) unit nourishment refrigerators in the South Building and the Main Kitchen and four (4) (A Wing, B Wing, C Wing, and D Wing) of four (4) unit nourishment refrigerators in the North Building. [...]
  3. 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) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Survey (Complaint #'s 2637850, 2657322, 2676432, 2680267) the facility did not ensure that there were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for two (2) (North Building and South Building) of two (2) resident buildings. Specifically, there were torn and stained privacy curtains in resident rooms; walls, floors, and baseboards that were soiled, discolored and/or in disrepair. Shower rooms with soiled furnishings and loose toilet seats, stored unlabeled opened personal care items; soiled and in disrepair floors, broken blinds, wall board in disrepair and separating from the wall, stained ceiling tiles and a rusty ceiling tile grid. Additionally, soiled linens were observed on floors of shower room and in resident rooms.
  4. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review during an Abbreviated survey (Complaint #2637850) the facility did not dispose of garbage and refuse properly. Specifically, two (2) (South Building and North Building) of two (2) resident buildings had waste that was not properly contained outside in closed dumpsters. Garbage and loose debris were observed on the ground around the dumpsters, which created potential feeding and harborage areas for pests.
  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 · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #2655726) the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for two (2) (Residents #8 and #9) of five (5) residents reviewed. Specifically, Resident #8 was not provided with morning care and Resident #9 was not provided with timely incontinent 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 · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Survey (Complaint #2680267) completed on 12/22/2025, the facility did not ensure that all residents receive treatment and care in accordance with professional standards of practice for two (2) (Resident #7 and #8) of two (2) residents reviewed. Specifically, there was lack of ongoing evidence of skin assessments and lack of evidence the treatment was completed as ordered (#7) and there was a delay in obtaining an order for completing dressing changes and lack of evidence flushes were completed as ordered (#8).
  7. D
    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.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on interviews and record review conducted during an Abbreviated survey during a Complaint Investigation (#2657322) the facility did not ensure that each resident received the necessary behavioral health care and services to attain or maintain the highest practicable mental and psychosocial well-being for one (1) (Resident #4) of one (1) resident reviewed. Specifically, Resident #4 with a history of expressing sadness and making negative statements was not provided a Psychiatry consult, consistent with prior Psychiatry recommendations. [...]
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review completed during an Abbreviated Survey (#2655726) the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, to help prevent the development and transmission of communicable diseases and infections for two (2) (Resident #8 and Resident #9) of five residents reviewed for infection control. Specifically, Resident #8 was on enhanced barrier precautions (interventions designed to reduce transmission of multi-drug-resistant organisms, including gown and glove use during high contact resident care activities) and staff did not wear proper personal protective equipment (gowns) during hands-on care while bathing, performing catheter care, changing brief, and changing linens; [...]
  9. C
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Survey (Complaint #2637850) the facility did not ensure that, in accordance with professional standards and practices, they maintained medical records on all residents that were complete and accurately documented. Specifically, the controlled substance inventory records, for the nurses shift to shift counts, were not consistently signed off by two nurses on four (4) (South building second floor, and North building B, C and D units) of six (6) units observed.
May 7, 2025Complaint inspection · 2 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) June 25, 2025
    Inspectors wroteBased on observation, and interview conducted during an Abbreviated survey (Complaint #NY00365545 and #NY00373162) the facility did not ensure that there were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for one (Second Floor) of two resident floors in the South Campus and one (C Wing) of four resident wings in North Campus. Specifically, there were dirty and sticky floors; stain ceiling tiles; window blinds with missing or damaged slats; residue (substance/film) on the surface in shared bathroom sink; room labeled detailed- full clean with debris on floor, in drawers, on bed frame, and bathroom sink; bedpans, wash basins on floors in shared bathrooms (Second Floor-South Campus); window blinds with missing or damaged slats; soiled, damaged fall mat; soiled wall and toilet seats in resident rooms (C-Wing).
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 25, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00365545) completed 5/7/2025, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for one (Residents #1) of three residents reviewed. Specifically, Resident #1 was unshaven with facial hair longer than ¼ inch. The finding is: The facility policy and procedure titled Activities of Daily Living dated 11/18/24, documented the facility will ensure a resident is given the appropriate treatment and services to maintain or improve their ability to carry out the activities of daily living. The facility will provide care and services for hygiene-bathing, dressing, grooming and oral care. [...]
October 28, 2024Standard inspection, Complaint inspection · 9 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview, observation and record review conducted during a Complaint investigation (Complaint #NY00353284, #NY00329150) during the standard survey completed on 10/28/24, the facility did not ensure that there was sufficient nursing staff on a 24-hour basis to provide care for all residents. Specifically, one of one facility reviewed for sufficient staffing the facility did not meet their assessed minimum staffing levels for Certified Nurse Aides on 8/24/2024, 9/8/2024, 9/16/2024, 9/22/24, 10/5/2024, 10/6/2024, and 10/20/2024 to meet the needs of the residents. The finding is: Refer to F 677 Activities of daily living care for dependent residents. The policy and procedure titled Nursing Department Staffing dated 2/17/2021 documented the facility provides adequate staffing to meet needed care and services for our resident population. [...]
  2. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview and record review conducted during a Standard survey completed on 10/28/24, the facility did not implement an effective antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for one of one infection control program reviewed. Specifically, the facility did not provide documentation showing that antibiotics were being monitored and tracked to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. This involved Resident #84. The finding is: [...]
  3. 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) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 10/28/24, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #84) of three residents reviewed for infection control practices during care. Specifically, Certified Nurse Aide's #2, 4, 5, and 6 did not wear appropriate personal protective equipment (PPE) during care activities for a resident on enhanced barrier precautions who had an indwelling catheter (tube inserted into the bladder to drain urine) and a stage IV pressure ulcer.
  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 18, 2024
    Inspectors wroteBased on interview and record review conducted during a Complaint investigation (#NY00332426) during a standard survey completed on 10/28/24, the facility did not ensure that all alleged violations involving abuse, including injuries of unknown source, were reported immediately, but not later than two hours after the allegation was made to the facility's Administrator and the State Survey Agency for one (Resident #62) of five residents reviewed. Specifically Resident #62 was found to have an injury of unknown source to their forehead, and it was not reported within the required timeframe. The finding is: [...]
  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) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 10/28/24, 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 two (Residents #71 and #127) of five residents reviewed. Specifically, issues involved unkempt long, dirty, jagged fingernails (#71, #127). In addition, Resident #71 had presence of unwanted facial hair. Additionally, the 3rd floor Bath & Shower Sheet dated 10/23/24 for #71 was inaccurately documented, that care had been provided.
  6. 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) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review conducted the Standard survey completed on 10/28/24, the facility did not ensure that residents who had an indwelling (foley) catheter (tube inserted into the bladder to drain urine) received the appropriate care and services to manage catheters for one (Resident #84) of one resident reviewed. Specifically, Resident #84 was symptomatic for a urinary tract infection, and the foley catheter drainage bag was not draining to gravity below their bladder. The finding is: The policy and procedure titled Catheter Care: Urinary revised on 4/30/24 documented the purpose of this procedure is to prevent catheter-associated urinary tract infections. The position of the urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and drainage bag from flowing back into the urinary bladder. [...]
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard Survey completed on 10/28/24, the facility did not provide separately locked, permanently affixed compartments for the storage of controlled drugs for one (A Wing North Building) of three medication rooms observed for medication storage. Specifically, three bottles of liquid Lorazepam (a Schedule IV controlled substance-sedative/antianxiety medication) were stored in a removable locked box inside a small refrigerator that was not permanently affixed, which was located in a room with an unlockable door. This involved Resident #32. The finding is: [...]
  8. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 10/28/24, the facility did not provide or obtain dental services to meet the resident's needs for one (Resident #84) of one resident reviewed. Specifically, there was no follow up to recommendations for a crown for a chipped tooth. In addition, the care plan was not revised to include Resident #84's chipped tooth. The finding is: The policy and procedure titled Dental Services with a revised date 1/28/20 documented routine and emergency dental services are available to meet the resident's oral health services in accordance with the resident's assessment and plan of care. The Director of Nursing, or his/her designee, is responsible for notifying Social Services of a resident's need for dental services and coordinate appointments with Medical Records/Unit Clerks. [...]
  9. C
    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.
    F575 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on observations and interviews conducted during a Standard Survey completed on 10/28/24, the facility did not post in a manor accessible and understandable to residents and resident representatives, the pertinent contact information for the State Long-Term Care Ombudsman Program and the State Agency Complaint Hotline number, including a statement that the resident may file a complaint. Specifically, for one (North) of two buildings there was no contact information for the State Agency Complaint Hotline, or the Ombudsman Program posted in the building. The finding is: The policy and procedure titled Resident Rights dated 3/1/17, documented Federal and State laws guarantee certain basic rights to all residents of this facility. These rights include the residents right to: communicate with outside agencies (e.g. [...]
July 24, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint # NY00321134), the facility did not ensure that the resident's person-centered care plan was implemented to meet the resident's medical and nursing needs for three (Residents #1, #2, and #3) of six residents reviewed for care planning. Specifically, Residents #1, #2 and #3 were care planned for the use of a stop sign across their room door to deter other residents from entering and they were not provided with one.
February 9, 2024Complaint inspection · 2 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) March 19, 2024
    Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00331630), the facility did not ensure residents had the right to be free from physical abuse for one (Resident #1) of three residents reviewed. Specifically, on 1/16/2024 resident to resident physical abuse occurred between Resident #1 and Resident #2. Resident #2 grabbed Resident #1's arm and aggressively threw Resident #1 down to the floor. Resident #1 experienced pain; sustained a compression fracture (small breaks in the spine) of T2 (the upper aspect of thoracic region (middle section of spine) and fractures (break) of the left elbow and hip. Resident #1 was subsequently transferred to the hospital. This resulted in actual harm to Resident #1 that is not immediate jeopardy. The finding is: [...]
  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) March 19, 2024
    Inspectors wroteBased on observation, interview and record review conducted during a complaint investigation (#NY00331620), the facility did not ensure that all alleged allegations of abuse, were thoroughly investigated for two (Resident #1 & 2) of three residents reviewed. Specifically, the facility did not complete a thorough and accurate investigation into resident-to-resident abuse to include conducting interviews with witnesses and other pertinent staff. The finding is: The policy and procedure titled Abuse, Neglect and Exploitation of Residents dated 4/19 documented the Administrator/Director of Nursing (DON/designee will conduct an investigation. Witness reports will be in writing. Witnesses will be required to sign and date such reports. [...]
January 24, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on interview and record review conducted during an Abbreviated survey (Compliant #NY00289521) completed on 1/24/24, it was determined that the facility did not ensure that that residents receive treatment and care in accordance with professional standards of practice. Specifically, one of three residents (Resident #1) reviewed for delay of treatment had complained of left hip pain on 1/9/22 and was not sent to the hospital for a confirmation of a broken hip until 1/12/22. The finding is: The policy and procedure titled Laboratory and Diagnostic Test Results - Clinical Protocol dated 2/1/2017 documented that all laboratory and diagnostic tests will be scheduled, collected, and tracked timely to ensure the physician receives timely reports to ensure there is no delay when notifying the physician whenever abnormal
March 17, 2023Standard inspection · 9 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 · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review conducted during a Recertification survey and complaint investigation (#NY00306577) completed on 3/17/23, it was determined that the facility did not ensure that housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for five (North Building: Units B, C, and D & South Building 2nd and 3rd Floor) of five resident units and one laundry room in the North building. Specifically, the issues involved soiled floors, walls, furniture, and doors; garbage on the floors; window blinds in disrepair; stained privacy curtains; personal care supplies directly on the floor; dusty vents and heaters; rusty toilet paper holders; stained ceiling tiles and urine odors. Additionally, the laundry room had piles of visibly soiled linens on the floor next to and in front of washing machines; [...]
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed 3/17/23, the facility did not provide food and drink that was palatable, and at a safe and appetizing temperature for five (South building: 2nd floor, 3rd floor and North building: B Unit, C Unit and D unit) of five test trays. Specifically, food and beverages during meals were served at suboptimal temperatures and were not palatable. Residents' #62, #77, #89, #128, #155 and #166 were involved.
  3. 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) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started 3/12/23 and completed 3/17/23, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one (South) of two kitchens. Specifically, the South kitchen had issues with soiled floors, walls, and storage shelves. The dish-room walls and ceiling were soiled with dried food debris, and thick dust hanging from the light fixture. The kitchen commercial hood and mobile heated dish dispenser had a build-up of grease and dust. The walk-in freezer's floor was soiled with spilled frozen food products, there was no thermometer, and had undated/outdated/unlabeled food. The stand-up and walk in cooler had undated/outdate/unlabeled food items. [...]
  4. E
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on interview and record review the facility did not ensure the Binding Arbitration Agreement was explained to the resident and his or her representative in a form and manner that he or she understands, including in a language the resident and his or her representative understands; and the resident or his or her representative acknowledges that he or she understands the agreement five (Resident #100, #238, #387, #388 and #389) of five residents reviewed. Specifically, the residents did not understand what an Arbitration Agreement was and did not recall the facility explaining what an Arbitration Agreement was.
  5. E
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    F848 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on interview and record review the facility did not ensure the Binding Arbitration Agreement provides for the selection of a neutral arbitrator agreed upon by both parties and the agreement provides for the selection of a venue that is convenient to both parties. Specifically, five (Resident #100, #238, #387, #388 and #389) of five resident's Binding Arbitration Agreements were reviewed and there is no documented evidence the agreement addresses the selection of a neutral Arbitrator agreed upon by both parties and the selection of a venue that is convenient to both parties. Refer to F 847 E The finding is: [...]
  6. 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) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 3/17/23, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for two (Residents #153 and #155) of 8 residents reviewed. Specifically, Residents #153 and #155 had unkempt (long/jagged/dirty) fingernails. Additionally, Resident #155 was unkempt had oily disheveled hair and the presence of unwanted facial hair.
  7. D
    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, isolated · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 3/17/23, the facility did not ensure that the residents' environment remains as free from accident hazards as is possible. Specifically, three (First Floor, Second Floor, Third Floor) of three resident use floors in one (South Building) of two buildings had issues with water temperatures exceeding 120 degrees Fahrenheit (°F). This involves Resident #86.
  8. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on interview and record review conducted during a Standard survey completed on 3/17/23, the facility did not ensure that residents who require dialysis, received services consistent with professional standards of practice for one (Resident #166) of one resident reviewed. Specifically, Resident #166 did not receive ongoing monitoring of vital signs upon return to the facility after dialysis. The finding is: The facility policy and procedure (P&P) titled Care of a Resident with End-Stage Renal Disease revised 9/5/18, documented to monitor for vital signs (VS) especially blood pressure (BP) before and after the dialysis session and as needed. Additionally, the nurse will document pertinent information in the progress notes, 24-hour report and care plan when indicated. The facility P&P titled Dialysis revised 1/19/19, documented post dialysis monitoring: [...]
  9. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2023
    Inspectors wroteBased on interview and record review conducted during the Standard survey completed 3/17/23, the facility did not ensure MDS (Minimum Data Set - a resident assessment tool) data was electronically transmitted to the CMS (Centers for Medicare & Medicaid Services) System within 14 days after the resident's assessment was completed for three (Resident #65, 92, and 151) of three residents reviewed.
May 6, 2021Standard inspection · 3 citations
  1. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2021
    Inspectors wroteBased on observation and interview during the Standard survey completed on 5/6/21, the facility did not maintain all essential mechanical, electrical, and patient care equipment in safe, operating condition. Specifically, the plumbing system on one (North Building A Wing) of six resident units had open and unsealed toilet and sink waste lines.
  2. 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) June 4, 2021
    Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 5/6/21, the facility did not ensure that all alleged violations involving abuse are reported immediately, but no later than two hours after the allegation is made, if the events that cause the allegation involve abuse, to the Administrator of the facility and to appropriate officials (including the State Survey Agency) for one (Resident #60) of four residents reviewed for alleged abuse. Specifically, an alleged incident of sexual abuse was not reported timely to the New York State Department of Health (NYS DOH) within the two-hour timeframe as required. The finding is: [...]
  3. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 11, 2021
    Inspectors wroteBased on observation, interview, and record review conducted during the standard survey completed on 5/6/21, the facility did not provide food and drink that was palatable, attractive, and served at a safe and appetizing temperature. One (North Building) of two resident units reviewed for food temperatures during the lunch meal on 5/4/21 had issues involving items that were not palatable and not served at appetizing temperatures. Residents #3, 36, 55, 83, 121, 135 and 143 were involved. Review of an undated facility policy and procedure entitled Meal Distribution Policy revealed food is to be transported to the dining locations in a manner that ensures proper temperature maintenance (through the use of a traveling Cambrio (meal cart), which protects against contamination by being covered prior to being placed in the traveling Cambrio) and are delivered in a timely and accurate manner. [...]

Fire safety inspections

35 fire safety citations on file: 22 on October 28, 2024, 10 on March 17, 2023, 3 on May 6, 2021.

Every fire safety citation35 citations
  1. E
    Meet other general requirements.
    K 200 · October 28, 2024 · Corrected (the home has a date of correction)
  2. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 28, 2024 · Corrected (the home has a date of correction)
  3. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · October 28, 2024 · Corrected (the home has a date of correction)
  4. E
    Install proper backup exit lighting.
    K 281 · October 28, 2024 · Corrected (the home has a date of correction)
  5. E
    Have properly located and lighted "Exit" signs.
    K 293 · October 28, 2024 · Corrected (the home has a date of correction)
  6. E
    Have an enclosure around a vertical opening shaft.
    K 311 · October 28, 2024 · Corrected (the home has a date of correction)
  7. 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 · October 28, 2024 · Corrected (the home has a date of correction)
  8. E
    Provide properly protected cooking facilities.
    K 324 · October 28, 2024 · Corrected (the home has a date of correction)
  9. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · October 28, 2024 · Corrected (the home has a date of correction)
  10. E
    Install an approved automatic sprinkler system.
    K 351 · October 28, 2024 · Corrected (the home has a date of correction)
  11. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 28, 2024 · Corrected (the home has a date of correction)
  12. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 28, 2024 · Corrected (the home has a date of correction)
  13. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 28, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 28, 2024 · Corrected (the home has a date of correction)
  15. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · October 28, 2024 · Corrected (the home has a date of correction)
  16. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 28, 2024 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 28, 2024 · Corrected (the home has a date of correction)
  18. E
    Have proper medical gas storage and administration areas.
    K 923 · October 28, 2024 · Corrected (the home has a date of correction)
  19. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 28, 2024 · Corrected (the home has a date of correction)
  20. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 28, 2024 · Corrected (the home has a date of correction)
  21. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · October 28, 2024 · Corrected (the home has a date of correction)
  22. C
    Provide primary/alternate means for communication.
    E 32 · October 28, 2024 · Corrected (the home has a date of correction)
  23. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · March 17, 2023 · Corrected (the home has a date of correction)
  24. 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 · March 17, 2023 · Corrected (the home has a date of correction)
  25. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · March 17, 2023 · Corrected (the home has a date of correction)
  26. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 17, 2023 · Corrected (the home has a date of correction)
  27. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 17, 2023 · Corrected (the home has a date of correction)
  28. E
    Have restrictions on the use of portable space heaters.
    K 781 · March 17, 2023 · Corrected (the home has a date of correction)
  29. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 17, 2023 · Corrected (the home has a date of correction)
  30. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 17, 2023 · Corrected (the home has a date of correction)
  31. E
    Have proper medical gas storage and administration areas.
    K 923 · March 17, 2023 · Corrected (the home has a date of correction)
  32. C
    Conduct testing and exercise requirements.
    E 39 · March 17, 2023 · Corrected (the home has a date of correction)
  33. 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 6, 2021 · Corrected (the home has a date of correction)
  34. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 6, 2021 · Corrected (the home has a date of correction)
  35. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · May 6, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 22, 2025Payment Denial 40 days from March 22, 2026
January 24, 2024Fine $43,973

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)3.303.633.86
Registered nurses0.380.710.69
All nursing staff on weekends2.863.183.42
Nurse aides2.07
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)57.1%40.3%45.8%
Registered nurse turnover73.9%39.8%42.9%
Administrators who left0

CMS expects 3.36 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 3.49 on weekdays and 2.86 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.300.383.492.86 7.2%0 of 90209
Oct to Dec 20253.300.303.452.90 5.3%0 of 92211
Jul to Sep 20253.680.273.883.18 6.7%0 of 92200
Apr to Jun 20253.690.283.883.20 8.7%0 of 91199
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 Williamsville Suburban, L L C. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
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
12.414.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.812.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.66.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.713.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.320.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.39.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Williamsville Suburban, L L C's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (40.9% 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

40.9% 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. 83 eligible stays.

Potentially preventable readmissions

10.0% 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. 92 eligible stays.

Infections that led to a hospital stay

6.1% 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. 64 eligible stays.

Self-care and mobility at discharge

48.8% 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. 80 residents counted.

Falls with major injury

0.8% 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. 121 residents counted.

New or worsened pressure ulcers

1.7% 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. 121 residents counted.

Medication list given at discharge

86.5% 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. 37 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: WILLIAMSVILLE SUBURBAN, LLC.

NameRoleTypeShareSince
Otterbein, Laura5% or greater direct ownership interestIndividual46%03/12/2018
Zacher, William5% or greater direct ownership interestIndividual46%03/12/2018
Goldman, DavidCorporate directorIndividual10/18/2018
Goldman, DavidOperational/managerial controlIndividual10/18/2018

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 11 problems in this area, most recently on December 22, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on July 31, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 22, 2025: "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."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on October 28, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.86 hours per resident per day, below the New York average of 3.18.

Other nursing homes nearby

Assisted living in Williamsville

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 Williamsville Suburban, L L C's Medicare star rating?
CMS rates Williamsville Suburban, L L C 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Williamsville Suburban, L L C get at its last inspection?
9 health deficiencies at the standard inspection on October 28, 2024. The New York average is 8.1.
Has Williamsville Suburban, L L C been fined?
Yes. CMS lists 1 fine totaling $43,973 in the last three years.
Does Williamsville Suburban, L L C 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 Williamsville Suburban, L L C?
CMS lists 4 owners and managers. Legal business name: WILLIAMSVILLE SUBURBAN, LLC.

Sources

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