Comprehensive Rehabilitation and Nursing Center at
147 Reist Street · Williamsville, NY · 14221 · 7166335400
142 certified beds For profit - Limited Liability company Chain: Ephram Lahasky
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $37,138 |
Inspection citations (45 in the current record)
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Potential for harm · F February 5, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 6, 2026 · Environmental
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Potential for harm · E January 8, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 8, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected November 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 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.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · E December 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 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.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 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.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 31, 2025 · Nutrition and Dietary
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Potential for harm · F December 6, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 31, 2025 · Administration
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Potential for harm · D December 6, 2024
Provide and implement an infection prevention and control program.
Corrected January 31, 2025 · Infection Control
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No harm found · C December 6, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 31, 2025 · Resident Rights
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No harm found · B December 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.
Corrected January 31, 2025 · Resident Rights
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No harm found · B December 6, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D August 14, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 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 June 20, 2023 · Resident Rights
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Potential for harm · D April 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 June 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 21, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 20, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Provide activities to meet all resident's needs.
Corrected June 20, 2023 · Quality of Life and Care
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Potential for harm · D April 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2024 | Fine | $37,138 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335172 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.