Public Record
Comprehensive Rehab & Nursing Ctr at Williamsville
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 142
- Avg. residents per day
- 137.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 117
- Inspections on file
- 13
- Last inspection
- 2026-02-05
*CMS
*CMS
*CMS
Citations
117 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0300Generalpotential for harm
Meet other general requirements that are deficient.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0635Generalpotential for harm
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- 0281Generalpotential for harm
Install proper backup exit lighting.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0561Generalno actual harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0584Generalno actual harm
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.
- 0585Generalpotential for harm
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.
- 0607Generalno actual harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0688Generalpotential for harm
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.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0006Generalno actual harm
Conduct risk assessment and an All-Hazards approach.
- 0022Generalno actual harm
Establish policies and procedures for sheltering.
- 0024Generalno actual harm
Establish policies and procedures for volunteers.
- 0035Generalno actual harm
Provide family notifications of emergency plan.
- 0200Generalpotential for harm
Meet other general requirements.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0781Generalpotential for harm
Have restrictions on the use of portable space heaters.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0836Generalno actual harm
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.
- 0584Generalpotential for harm
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.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0582Generalno actual harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0100Generalpotential for harm
Meet other general requirements.
- 0200Generalpotential for harm
Meet other general requirements.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0271Generalpotential for harm
Have exits that are accessible at all times.
- 0281Generalpotential for harm
Install proper backup exit lighting.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0347Generalpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0362Generalpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0026Generalno actual harm
Establish roles under a Waiver declared by secretary.
- 0037Generalno actual harm
Establish staff and initial training requirements.
- 0039Generalno actual harm
Conduct testing and exercise requirements.
- 0041Generalno actual harm
Implement emergency and standby power systems.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0758Generalpotential for harm
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.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0688Generalpotential for harm
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.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0584Generalno actual harm
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.
- 0026Generalno actual harm
Establish roles under a Waiver declared by secretary.
- 0041Generalno actual harm
Implement emergency and standby power systems.
- 0100Generalpotential for harm
Meet other general requirements.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0007Generalno actual harm
Address patient/client population and determine types of services needed.
- 0015Generalno actual harm
Address subsistence needs for staff and patients.
- 0024Generalno actual harm
Establish policies and procedures for volunteers.
FAQ
Questions and answers
- What is Comprehensive Rehab & Nursing Ctr at Williamsville?
- Comprehensive Rehab & Nursing Ctr at Williamsville is a Medicare- and Medicaid-certified nursing home in Williamsville, NY, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 335172.
- What is the CMS rating for Comprehensive Rehab & Nursing Ctr at Williamsville?
- Comprehensive Rehab & Nursing Ctr at Williamsville has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Comprehensive Rehab & Nursing Ctr at Williamsville have?
- Comprehensive Rehab & Nursing Ctr at Williamsville is certified for 142 beds. It serves an average of 137.1 residents per day.
- How many citations does Comprehensive Rehab & Nursing Ctr at Williamsville have?
- Comprehensive Rehab & Nursing Ctr at Williamsville has 117 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Comprehensive Rehab & Nursing Ctr at Williamsville last inspected?
- Comprehensive Rehab & Nursing Ctr at Williamsville was last inspected on February 5, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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