THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER

πŸ“ 14012 ROUTE 31, albion, NY 14411 πŸ“ž 5855895637 πŸ›οΈ 120 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐
1/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

84
Total Violations
10 years of data
$83,275
Total Fines
3 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 11 violations

Tag 0578 D Jan 31, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Mar 14, 2025
Tag 0584 E Jan 31, 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.

βœ“ Corrected: Mar 14, 2025
Tag 0604 D Jan 31, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Mar 14, 2025
Tag 0609 D Jan 31, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 14, 2025
Tag 0610 D Jan 31, 2025

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 14, 2025
Tag 0689 E Jan 31, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 14, 2025
Tag 0730 C Jan 31, 2025

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Mar 14, 2025
Tag 0732 B Jan 31, 2025

Post nurse staffing information every day.

βœ“ Corrected: Mar 14, 2025
Tag 0761 D Jan 31, 2025

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.

βœ“ Corrected: Mar 14, 2025
Tag 0812 D Jan 31, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 14, 2025
Tag 0880 D Jan 31, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 14, 2025

2024 2 violations

Tag 0622 D Jan 12, 2024

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Feb 9, 2024
Tag 0760 J Jan 12, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Feb 9, 2024

2023 10 violations

Tag 0609 D Oct 18, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Nov 16, 2023
Tag 0578 D Aug 10, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Sep 15, 2023
Tag 0895 F Aug 10, 2023

Have a Compliance and Ethics Program.

βœ“ Corrected: Sep 15, 2023
Tag 0609 D Jul 21, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Sep 8, 2023
Tag 0661 D Jul 21, 2023

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Sep 8, 2023
Tag 0689 D Jul 21, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 8, 2023
Tag 0801 E Jul 21, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Sep 8, 2023
Tag 0803 D Jul 21, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Sep 8, 2023
Tag 0804 E Jul 21, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Sep 8, 2023
Tag 0812 E Jul 21, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 8, 2023

2022 4 violations

Tag 0600 D Dec 1, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 27, 2023
Tag 0600 D Nov 30, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 27, 2023
Tag 0609 D Feb 8, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 25, 2022
Tag 0609 D Feb 4, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 25, 2022

2021 8 violations

Tag 0578 D Oct 25, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Dec 24, 2021
Tag 0689 D Oct 25, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 24, 2021
Tag 0609 D Apr 26, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jun 24, 2021
Tag 0610 D Apr 26, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 24, 2021
Tag 0656 D Apr 26, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 24, 2021
Tag 0684 D Apr 26, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 24, 2021
Tag 0693 D Apr 26, 2021

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.

βœ“ Corrected: Jun 24, 2021
Tag 0836 C Apr 26, 2021

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

βœ“ Corrected: Jun 24, 2021

2020 13 violations

Tag 0880 E Dec 17, 2020

Provide and implement an infection prevention and control program.

Tag 0886 E Dec 17, 2020

Perform COVID19 testing on residents and staff.

Tag 0685 D Sep 14, 2020

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Oct 7, 2020
Tag 0880 E Sep 14, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 5, 2020
Tag 0600 D Aug 13, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Sep 21, 2020
Tag 0609 D Aug 13, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Sep 21, 2020
Tag 0580 D May 9, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 15, 2020
Tag 0880 K May 9, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 15, 2020
Tag 0563 F Feb 26, 2020

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

βœ“ Corrected: Jul 8, 2020
Tag 0609 D Feb 26, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jul 8, 2020
Tag 0610 D Feb 26, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 8, 2020
Tag 0908 E Jan 2, 2020

Keep all essential equipment working safely.

βœ“ Corrected: Feb 21, 2020
Tag 0908 E Jan 1, 2020

Keep all essential equipment working safely.

βœ“ Corrected: Feb 21, 2020

2019 5 violations

Tag 0609 D Sep 24, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 25, 2019
Tag 0908 E Jul 15, 2019

Keep all essential equipment working safely.

βœ“ Corrected: Sep 3, 2019
Tag 0725 D Jul 9, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Aug 16, 2019
Tag 0689 D Apr 2, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: May 25, 2019
Tag 0725 E Apr 2, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: May 25, 2019

2018 10 violations

Tag 0561 D Nov 16, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Dec 21, 2018
Tag 0584 E Nov 16, 2018

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.

βœ“ Corrected: Dec 21, 2018
Tag 0641 D Nov 16, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 16, 2018
Tag 0656 D Nov 16, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Dec 21, 2018
Tag 0693 D Nov 16, 2018

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.

βœ“ Corrected: Dec 16, 2018
Tag 0695 D Nov 16, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Dec 16, 2018
Tag 0842 D Nov 16, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Dec 21, 2018
Tag 0880 C Nov 16, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 28, 2018
Tag 0580 G Feb 21, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Mar 23, 2018
Tag 0842 D Feb 21, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Mar 23, 2018

2017 7 violations

Tag 0225 D Aug 15, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Sep 8, 2017
Tag 0226 B Jul 12, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Aug 17, 2017
Tag 0242 D Jul 12, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Aug 17, 2017
Tag 0282 D Jul 12, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Aug 17, 2017
Tag 0314 D Jul 12, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Aug 17, 2017
Tag 0323 D Jun 22, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Aug 21, 2017
Tag 0514 D Jun 22, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Aug 21, 2017

2016 14 violations

Tag 0241 D Apr 25, 2016

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Jun 17, 2016
Tag 0258 D Apr 25, 2016

Maintain comfortable sound levels.

βœ“ Corrected: Jun 17, 2016
Tag 0279 D Apr 25, 2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 17, 2016
Tag 0280 D Apr 25, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 17, 2016
Tag 0282 D Apr 25, 2016

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Jun 17, 2016
Tag 0309 D Apr 25, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 17, 2016
Tag 0312 D Apr 25, 2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Jun 17, 2016
Tag 0314 D Apr 25, 2016

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Jun 17, 2016
Tag 0318 D Apr 25, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

βœ“ Corrected: Jun 17, 2016
Tag 0323 D Apr 25, 2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 17, 2016
Tag 0329 D Apr 25, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jun 17, 2016
Tag 0368 D Apr 25, 2016

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.

βœ“ Corrected: Jun 17, 2016
Tag 0425 D Apr 25, 2016

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jun 17, 2016
Tag 0514 D Apr 25, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Jun 17, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 2 penalties totaling $76,382

$9,750
Fine
December 17, 2020
$66,632
Fine
May 9, 2020
Average: $38,191 | Range: $9,750 - $66,632

2018 1 penalties totaling $6,893

$6,893
Fine
February 21, 2018
Average: $6,893 | Range: $6,893 - $6,893

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 12, 2024
0.00

Health

October 18, 2023
0.00

Health

August 10, 2023
0.00

Health

July 21, 2023
0.00

Health

November 30, 2022
0.00

Health

February 8, 2022
0.00

Health

October 25, 2021
0.00

Health

April 26, 2021
0.00

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
335212
335212
5855895637
Orleans

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual