COMPREHENSIVE REHAB & NURSING CTR AT WILLIAMSVILLE

📍 147 REIST STREET, williamsville, NY 14221 📞 7166335400 🛏️ 142 beds

Overall Rating

1/5

Health Inspection

1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

72
Total Violations
8 years of data
$9,750
Total Fines
1 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0689 K Jun 21, 2024

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

✓ Corrected: Jul 24, 2024

2023 17 violations

Tag 0842 D Aug 14, 2023

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

✓ Corrected: Sep 15, 2023
Tag 0582 B Apr 21, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 20, 2023
Tag 0584 D Apr 21, 2023

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.

✓ Corrected: Jun 20, 2023
Tag 0656 D Apr 21, 2023

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

✓ Corrected: Jun 6, 2023
Tag 0677 D Apr 21, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 20, 2023
Tag 0679 D Apr 21, 2023

Provide activities to meet all resident's needs.

✓ Corrected: Jun 20, 2023
Tag 0689 D Apr 21, 2023

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

✓ Corrected: Jun 20, 2023
Tag 0756 D Apr 21, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 20, 2023
Tag 0761 D Apr 21, 2023

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.

✓ Corrected: Jun 20, 2023
Tag 0812 E Apr 21, 2023

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

✓ Corrected: Aug 4, 2023
Tag 0814 D Apr 21, 2023

Dispose of garbage and refuse properly.

✓ Corrected: Jun 20, 2023
Tag 0836 C Apr 21, 2023

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.

✓ Corrected: Jun 20, 2023
Tag 0867 D Apr 21, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Aug 4, 2023
Tag 0880 D Apr 21, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 20, 2023
Tag 0908 E Apr 21, 2023

Keep all essential equipment working safely.

✓ Corrected: Aug 4, 2023
Tag 0919 E Apr 21, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Jun 20, 2023
Tag 0578 D Feb 13, 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.

✓ Corrected: Mar 30, 2023

2022 1 violations

Tag 0610 D Jun 28, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Jul 18, 2022

2021 10 violations

Tag 0584 B Aug 27, 2021

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.

✓ Corrected: Oct 7, 2021
Tag 0656 D Aug 27, 2021

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

✓ Corrected: Sep 30, 2021
Tag 0677 D Aug 27, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 7, 2021
Tag 0688 D Aug 27, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Nov 18, 2021
Tag 0689 E Aug 27, 2021

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

✓ Corrected: Oct 7, 2021
Tag 0695 D Aug 27, 2021

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

✓ Corrected: Nov 18, 2021
Tag 0758 E Aug 27, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Oct 7, 2021
Tag 0814 D Aug 27, 2021

Dispose of garbage and refuse properly.

✓ Corrected: Oct 7, 2021
Tag 0880 D Aug 27, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 7, 2021
Tag 0908 E Aug 27, 2021

Keep all essential equipment working safely.

✓ Corrected: Nov 18, 2021

2020 3 violations

Tag 0880 D Oct 7, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 4, 2020
Tag 0919 E Jun 26, 2020

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Jul 22, 2020
Tag 0880 E May 20, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 29, 2020

2019 18 violations

Tag 0609 D Nov 12, 2019

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

✓ Corrected: Dec 17, 2019
Tag 0610 D Nov 12, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Dec 17, 2019
Tag 0686 D Nov 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 17, 2019
Tag 0584 B Nov 4, 2019

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.

✓ Corrected: Dec 22, 2019
Tag 0602 D Nov 4, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Dec 17, 2019
Tag 0656 D Nov 4, 2019

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

✓ Corrected: Dec 22, 2019
Tag 0660 D Nov 4, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Dec 22, 2019
Tag 0679 D Nov 4, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Dec 22, 2019
Tag 0695 D Nov 4, 2019

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

✓ Corrected: Dec 22, 2019
Tag 0758 D Nov 4, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 30, 2019
Tag 0790 D Nov 4, 2019

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Dec 22, 2019
Tag 0867 E Nov 4, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Dec 22, 2019
Tag 0880 E Nov 4, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 30, 2019
Tag 0908 E Nov 4, 2019

Keep all essential equipment working safely.

✓ Corrected: Dec 17, 2019
Tag 0610 D Jul 22, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Aug 9, 2019
Tag 0641 D Jul 22, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 9, 2019
Tag 0689 E Jul 22, 2019

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

✓ Corrected: Aug 15, 2019
Tag 0745 D Jul 22, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 9, 2019

2018 15 violations

Tag 0689 D Nov 9, 2018

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

✓ Corrected: Nov 30, 2018
Tag 0550 D Oct 16, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 14, 2018
Tag 0623 B Oct 16, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Dec 14, 2018
Tag 0655 E Oct 16, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Dec 14, 2018
Tag 0657 D Oct 16, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 14, 2018
Tag 0688 D Oct 16, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Dec 14, 2018
Tag 0755 D Oct 16, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 14, 2018
Tag 0835 D Oct 16, 2018

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Dec 14, 2018
Tag 0838 D Oct 16, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Dec 14, 2018
Tag 0881 D Oct 16, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 14, 2018
Tag 0908 E Oct 16, 2018

Keep all essential equipment working safely.

✓ Corrected: Dec 14, 2018
Tag 0925 E Oct 16, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 14, 2018
Tag 0689 D Apr 16, 2018

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

✓ Corrected: May 10, 2018
Tag 0690 D Apr 16, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: May 10, 2018
Tag 0584 E Jan 17, 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.

✓ Corrected: Jan 24, 2018

2017 7 violations

Tag 0686 D Dec 7, 2017

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 24, 2018
Tag 0157 D Jun 8, 2017

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

✓ Corrected: Jul 21, 2017
Tag 0254 B Jun 8, 2017

Provide clean bed and bath linens that are in good condition.

✓ Corrected: Jul 28, 2017
Tag 0314 D Jun 8, 2017

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

✓ Corrected: Jul 28, 2017
Tag 0323 E Jun 8, 2017

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

✓ Corrected: Jul 28, 2017
Tag 0431 D Jun 8, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jul 28, 2017
Tag 0456 E Jun 8, 2017

Keep all essential equipment working safely.

✓ Corrected: Jul 28, 2017

Detailed Inspection Reports

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

Fines and Penalties by Year

2021 1 penalties totaling $9,750

$9,750
Fine
August 27, 2021
Average: $9,750 | Range: $9,750 - $9,750

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 21, 2024
0.00

Health

August 14, 2023
0.00

Health

April 21, 2023
0.00

Health

February 13, 2023
0.00

Health

June 28, 2022
0.00

Health

August 27, 2021
0.00

Health

November 4, 2019
0.00

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
335172
335172
7166335400
Erie

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual