| Comprehensive Rehabilitation and Nursing Center at | |
| 147 Reist Street, Williamsville, New York 14221 | |
| (716) 633-5400 | |
| Name | Comprehensive Rehabilitation and Nursing Center at |
|---|---|
| Location | 147 Reist Street, Williamsville, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 142 |
| Occupancy Rate | 95.21% |
| Medicare ID (CCN) | 335172 |
| Legal Business Name | Comprehensive at Williamsville LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Ephram Lahasky (22 nursing homes) |
| Chain Average Overall Rating | 1.8 out of 5 |
| NPI Number | 1164815916 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Comprehensive at Williamsville LLC |
| Address | 147 Reist St, Williamsville, NY 14221 |
| Phone Number | 716-633-5400 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.02 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.27 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.08 | 0.86 |
| Nurse aide hours per resident per day | 1.67 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.69 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 72.7% | 45.8% |
| Registered nurse turnover | 95.2% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $37,138 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 5, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Complaint inspection | Potential for harm, widespread | Corrected by Apr 6, 2026 |
| Jan 8, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Feb 27, 2026 |
| Jan 8, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Sep 15, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 4, 2025 |
| Sep 15, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 4, 2025 |
| Sep 11, 2025 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 4, 2025 |
| Dec 6, 2024 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | 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. F0584, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 31, 2025 |
| Dec 6, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 31, 2025 |
| Jun 21, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 24, 2024 |
| Aug 14, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 15, 2023 |
| Apr 21, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2023 |
| Apr 21, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2023 |
| Apr 21, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jun 20, 2023 |
| 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| 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. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 6, 2023 |
| Apr 21, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| Apr 21, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| Apr 21, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| 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. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.24 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.09 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.56 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.18 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.49 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 39.96 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.23 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.96 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.15 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.81 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.97 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.94 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.04 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.45 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.63 | 15.38 |
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