Comprehensive Rehabilitation and Nursing Center AtCMS ratings, inspections and fines
- Address
- 147 Reist Street, Williamsville, NY 14221
- CCN
- 335172
- Ownership type
- For-profit, limited liability company
- Certified beds
- 142
- Chain
- Chain name not shown
- Residents per day
- 135
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Comprehensive Rehabilitation and Nursing Center At an overall rating of 1 of 5 stars. The last standard survey was on 6 Dec 2024. The latest survey cycle has 18 health citations. The median for nursing homes in New York is 7. CMS lists 1 fine of $37,138 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Erie County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 33 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Dec 2024 | 18 | 7 |
| Cycle 2 | 21 Apr 2023 | 15 | 5 |
| Cycle 3 | No date | 12 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 6 Apr 2026 |
| 8 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint investigation | 27 Feb 2026 |
| 8 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 Feb 2026 |
| 15 Sep 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 4 Nov 2025 |
| 15 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 4 Nov 2025 |
| 11 Sep 2025 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 4 Nov 2025 |
| 6 Dec 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | C | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0584 | 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. | B | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | B | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0688 | 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. | D | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 31 Jan 2025 |
| 6 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Jan 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0584 | 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. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Jun 2023 |
| 21 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0761 | 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. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Aug 2023 |
| 21 Apr 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0836 | 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. | C | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 4 Aug 2023 |
| 21 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Jun 2023 |
| 21 Apr 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 4 Aug 2023 |
| 21 Apr 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 20 Jun 2023 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 24 Jul 2024 |
| 14 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Sep 2023 |
| 27 Aug 2021 | F0584 | 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. | B | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Sep 2021 |
| 27 Aug 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0688 | 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. | E | Standard survey | 18 Nov 2021 |
| 27 Aug 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Nov 2021 |
| 27 Aug 2021 | F0758 | 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. | E | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Oct 2021 |
| 27 Aug 2021 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 18 Nov 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Jun 2024 | Fine | $37,138 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 3.02 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.27 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 1.08 | 0.76 | |
| Nurse aides | 1.67 | 2.15 | |
| All nurse staff, weekends | 2.69 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 72.7%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 95.2%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.2% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.1% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Comprehensive at Williamsville LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cibc Bank USA | 5% or greater security interest | 5 May 2015 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Erie County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Williamsville Suburban, L L C | Williamsville | 1 of 5 | 18 | $43,973 | 28 Oct 2024 | |
| Elderwood at Williamsville | Williamsville | 2 of 5 | 8 | $75,553 | 21 Jan 2025 | |
| Canterbury Woods | Williamsville | 3 of 5 | 5 | $0 | 8 Jan 2025 | |
| Beechwood Health Care Center, Inc. | Getzville | 5 of 5 | 1 | $0 | 8 Nov 2023 | |
| Elderwood at Amherst | Amherst | 2 of 5 | 4 | $25,262 | 18 Apr 2025 | |
| Harris Hill Nursing Facility, L L C | Williamsville | 5 of 5 | 5 | $0 | 21 Apr 2026 | |
| Safire Rehabilitation of Northtowns, L L C | Tonawanda | 1 of 5 | 20 | $0 | 28 Mar 2025 | |
| Terrace View Long Term Care Facility | Buffalo | 3 of 5 | 7 | $30,843 | 26 Aug 2024 | |
| Elderwood at Cheektowaga | Cheektowaga | 1 of 5 | 23 | $0 | 23 Apr 2026 | |
| St Catherine Laboure Health Care Center | Buffalo | 5 of 5 | 0 | $0 | 13 Feb 2026 | |
| Humboldt House Rehabilitation and Nursing CenterSpecial Focus candidate | Buffalo | 2 of 5 | 20 | $270,666 | 10 Oct 2025 | |
| Elderwood at Lancaster | Lancaster | 3 of 5 | 12 | $0 | 22 Nov 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Comprehensive Rehabilitation and Nursing Center At (CCN 335172). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/comprehensive-rehabilitation-and-nursing-center-at-williamsville-ny-335172/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Comprehensive Rehabilitation and Nursing Center At last inspected?
- The latest inspection with a citation in the CMS record was on 5 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 21 Apr 2023.
- Who operates Comprehensive Rehabilitation and Nursing Center At?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Comprehensive Rehabilitation and Nursing Center At a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.