Buffalo Center For Rehabilitation And Nursing

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

medical records on 08/04/2025; the form was emailed to Risk Management on 08/05/2025; and approved to be released by Risk Management, once the Director of Nursing reviewed the records, on 08/05/2025.

Medical Records stated they did not email a copy of the medical records requested to be reviewed for Resident #2 until 8/12/2025 to the Director of Nursing #2 and the prior Administrator #2. Medical Records stated they were not sure why there was a delay in forwarding the medical records for Resident #2, I was off or doing other work. They stated the Director of Nursing #2 was no longer employed at the facility during that time, so they forwarded the email to the prior Administrator #2. They stated once it was emailed to the prior Administrator #2 it was out of their hands until they were told that it was ok to release the medical records as requested by Resident #2. They stated they had no clue if the prior Administrator #2 looked at

the medical records forwarded to them, they never got an email back from the Administrator #2 to release

the records. Medical Records stated Resident #2's medical records were never released as requested and

they did not follow up with the prior Administrator #2 to see if they should send the records. Medical Records stated they were not familiar with the facility's policy on releasing medical records and they should have been. Medical Records stated it was important for medical record requests to be sent as requested so

the residents know what is going on, it's their information. Medical Records stated they were unable to locate the invoice for the medical records Resident #2 requested.During a telephone interview on 11/04/2025 at 10:42 AM, prior Administrator #2 stated once requested medical records are reviewed by the Director of Nursing, they would be released via a thumb drive or paper copy once payment is received.

They stated they were not aware if residents within the nursing facility who were requesting medical records were charged. They stated usually there was a certain amount charged per page of the medical record being released. Administrator #2 stated if the Director of Nursing was not available to review the medical records requested that they or someone else could review them. They stated they expected there not to be

a delay in processing a medical record request. The Administrator #2 stated they would have expected to be notified by Medical Records sooner than 08/12/2025 if a request to release the medical records for Resident #2 was granted on 08/05/2025; so, the medical record could be properly reviewed, processed and released timely. 10NYCRR 415.3 (d)(1)(iv)

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave Buffalo, NY 14209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0600 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Supervisor #1 stated whether Resident #1 was being defiant, by urinating on floor or not, they should not have been yelled at. Resident #1 could have felt embarrassed or threatened by being yelled at. They stated verbal abuse could cause psychosocial harm. During an interview on 11/04/2025 at 1:08 PM, Director of Nursing #1 stated they investigated the situation as verbal abuse and reported it accordingly. Verbal abuse could have psychosocial effects on a resident, and that Resident #1 was being monitored for any ill effects, and for any changes in their status. During a telephone interview on 11/04/2025 at 1:53 PM, the Medical Director stated it was not appropriate for staff to yell at a resident and would consider it verbal abuse. They stated they were notified about Resident #1's situation on 10/29/2025 and they were pissed off about it.

They stated verbal abuse could have psychosocial effects and be harmful, however they saw Resident #1

after the situation on 10/29/2025 and they looked at their baseline without any evidence of lasting psychosocial harm. 10NYCRR 415.3(d)(1)(vii)

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave Buffalo, NY 14209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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

Based on interview and record review conducted during an Abbreviated survey (Complaint #2587167) the facility did not ensure that all alleged violations involving abuse and mistreatment are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse, to other officials (including to the State Survey Agency) for one (1) (Resident #3) of three (3) residents reviewed. Specifically, allegations of resident abuse were not reported no later than 2 hours to the New York State Department of Health. The finding is: A policy titled Abuse revised 07/18/2025 documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients and misappropriation of resident/patient property by anyone including but not limited to staff, family, friends and residents of the facility. The Administrator and Director of Nursing are responsible for investigation and reporting. Report to

the local law enforcement and appropriate State Agency(s) immediately (no later than two (2) hours after allegation/identification of allegation) by the Agency's designated process after identification of alleged/suspected incident. Resident #3 was admitted to the facility diagnosis include Cerebral Palsy (a group of disorders affecting a person's movement, posture, and muscle tone due to permanent, non-progressive brain damage that occurs before, during or after birth), intellectual disability (a disability characterized by significant limitations in both intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills), and dysphagia (difficulty swallowing, which can involve problems with liquids, solids, or saliva). The Minimum Data Set (a resident assessment tool) dated 09/25/2025 documented Resident #3 was cognitively severely impaired, rarely / never understood by others and rarely / never understands. The undated comprehensive care plan documented that Resident #3 had impaired cognition related to intellectual disability, had limited physical mobility with impaired movements, impulse disorder with intermittent explosive disorder requiring assistance with activities of daily living.

Review of e-mails provided by Administrator #1 from Resident #3's Health Care Proxy Agent dated 09/28/2025 through 10/06/2025 revealed the following: -On 09/30/2025 at 08:08 PM an email sent to the Administrator #1 from Resident #3's Health Care Proxy Agent documented the lady who shower (Resident #3) is (Certified Nurse Aide #12) yelled ‘(Resident #3) you want to puke your getting cold shower this teach you a lesson' and said ‘(Resident #3) your on my last nerve so maybe you not getting fed will teach you stop puking every time I feed you' and step on (Resident #3's) right foot saying ‘I hope it hurts ya' - that's a form of abuse. Review of an undated, untitled document identified by Administrator #1 as their summary of

the facility's actions related to the e-mails received from Resident #3's Health Care Proxy Agent, revealed

the summary did not document evidence the facility reported the abuse allegations to New York State Department of Health as required. During an interview on 11/04/2025 at 11:15 AM Director of Nursing #1 stated they were not aware of an allegation of abuse documented in an e-mail on 9/30/2025 from the Health Care Proxy Agent to Administrator #1. Director of Nursing #1 read the e-mail dated 09/30/2025 at 8:08 PM and stated the e-mail documented an allegation of verbal, mental, and physical abuse to Resident #3 and it should have been reported to the New York State Department of Health within 2 hours as required and it was not. During an interview on 11/12/2025 at 11:45 AM, Administrator #1 stated they received multiple e-mails from the Resident #3's Health Care Proxy Agent between 09/28/2025 through 10/01/2025 and they inadvertently missed the allegation of abuse documented in the e-mail dated 09/30/2025 at 8:08 PM. They stated they should have read the e-mails more closely to discern there was allegations of abuse and the allegations should have been reported to the New York State Department of Health within 2 hours as required and it was not. 10 NYCRR 415.4(b)(2)

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave Buffalo, NY 14209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0610 Level of Harm - Minimal harm or potential for actual harm

e-mails from the Health Care Proxy Agent between 09/28/2025 through 10/01/2025 and they inadvertently missed the allegation of abuse documented in the e-mail dated 09/30/2025 at 8:08 PM. They stated they should have read the e-mails more closely to discern there was an allegation of abuse, and an investigation should have been initiated, and it was not. 10 NYCRR 415.4(b)(3)

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buffalo Center for Rehabilitation and Nursing

1014 Delaware Ave Buffalo, NY 14209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Federal health inspectors cited BUFFALO CENTER FOR REHABILITATION AND NURSING in BUFFALO, NY for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-11-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 5 deficiencies cited during this inspection of BUFFALO CENTER FOR REHABILITATION AND NURSING.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-12-29.