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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Buffalo Center for Rehabilitation and Nursing is a 200-bed skilled nursing and rehabilitation facility at 1014 Delaware Ave in Buffalo, New York, offering short-term rehabilitation, long-term care, memory care, and respite care 2 miles from downtown in Erie County. The center is operated by Delaware Operations Associates, LLC, and accepts Medicare, Medicaid, and private pay.
The facility holds a 1-star CMS overall rating, anchored by a Health Inspection record 68.2% below the New York average. Over the past five years, deficiencies averaged 13.4 per year — 163% above the state’s 5.1 — with 8 enforcement actions on record, compared with a statewide average of 1.6. A $102,000 federal fine was tied to a June 2025 complaint survey citing ADL care, infection control, pharmacy services, and multiple life safety code violations. The most recent inspection, in July 2025, cited deficiencies in abuse reporting and administration; corrections were completed by August 2025.
Staffing is a notable counterpoint. Nurse staffing averages 4 hours and 26 minutes per resident per day — 11.1% above the New York average and ranked 51st out of 388 state facilities, indicating consistent direct-care coverage. The facility’s occupancy rate is 95%, well above New York’s average of 88.3%, suggesting steady demand.
The facility has five specialty rehabilitation programs — cardiac care, orthopedic care, stroke care, pain management, and short-term rehab — that serve the post-acute population alongside 24-hour staffing.
Buffalo Center for Rehabilitation and Nursing’s depth of rehabilitation, broad payer acceptance, and above-average staffing position it well for short-term post-acute recovery and long-term skilled nursing placement in the Buffalo area. However, families considering placement should review the facility’s extensive history of deficiencies and enforcement actions.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 50th out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 29m per day | ▼ 31% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▲ 20% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 55m per day | ▲ 34% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 48m per day | ▲ 20% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ■ Avg State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 40% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Buffalo Center for Rehabilitation and Nursing is legally operated by Delaware Operations Associates, LLC (For Profit).
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
20 points below the New York average for nursing homes (83/100)
Inspection score: 63 out of 100. Letter grade D. 20 points below the New York average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 8 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 56 | 13 | This facility has 331% more total citations than a typical New York nursing home (56 vs. NY avg 13).↑ 331% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 49 | 20 | This facility has 145% more health citations than a typical New York nursing home (49 vs. NY avg 20).↑ 145% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 7 | 4 | This facility has 75% more life safety citations than a typical New York nursing home (7 vs. NY avg 4).↑ 75% worse |
|
Citations per year
Average citations per year since 2021.
| 11.2 | 2.6 | This facility has 331% more citations per year than a typical New York nursing home (11.2 vs. NY avg 2.6).↑ 331% worse |
|
Citations per inspection
Average citations per inspection.
| 3.5 | 1.4 | This facility has 150% more citations per inspection than a typical New York nursing home (3.5 vs. NY avg 1.4).↑ 150% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 9 | This facility has 78% more total inspections than a typical New York nursing home (16 vs. NY avg 9).↑ 78% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 8 | 4 | This facility has 100% more inspections with citations than a typical New York nursing home (8 vs. NY avg 4).↑ 100% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 50% | 44% | This facility has 6 percentage points higher inspection citation rate than a typical New York nursing home (50% vs. NY avg 44%).↑ 6% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 235 | 79 | This facility has 197% more total complaints than a typical New York nursing home (235 vs. NY avg 79).↑ 197% worse |
|
Complaints per year
Average complaints per year since 2021.
| 47 | 15.8 | This facility has 197% more complaints per year than a typical New York nursing home (47 vs. NY avg 15.8).↑ 197% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.24 | 0.50 | This facility has 148% more complaints per bed than a typical New York nursing home (1.24 vs. NY avg 0.5).↑ 148% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 42 | 15 | This facility has 180% more complaint investigations than a typical New York nursing home (42 vs. NY avg 15).↑ 180% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York average 3.6
Last Health inspection on Nov 2025
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 36 citations resulted from standard inspections; 11 of 36 resulted from complaint investigations; and 3 of 36 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
1400% worse than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
44
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
12
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
29
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2017
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
Apr 29, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
850% more staff per resident than New York average
6% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 24 RN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 51 LPN Staff are full-time employees. No contractors work on this role.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 177 CNA Staff are full-time employees. No contractors work on this role.
177
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,817 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 177 | 0 | 177 | 48,967 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 51 | 0 | 51 | 15,406 | 92 | 100% | 8.8 |
| Registered Nurse | 24 | 0 | 24 | 5,029 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,339 | 86 | 93% | 7.5 |
| Other Dietary Services Staff | 12 | 0 | 12 | 2,296 | 92 | 100% | 7.4 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,983 | 69 | 75% | 7.7 |
| Occupational Therapy Aide | 7 | 0 | 7 | 1,487 | 86 | 93% | 6.7 |
| Physical Therapy Assistant | 0 | 9 | 9 | 1,431 | 68 | 74% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 937 | 65 | 71% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 887 | 65 | 71% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 792 | 64 | 70% | 8 |
| Other Social Services Staff | 3 | 0 | 3 | 536 | 54 | 59% | 8 |
| Feeding Assistant | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 418 | 56 | 61% | 7.5 |
| Qualified Social Worker | 0 | 4 | 4 | 310 | 64 | 70% | 4.4 |
| Medical Director | 1 | 0 | 1 | 280 | 40 | 43% | 7 |
| Qualified Activities Professional | 0 | 1 | 1 | 157 | 30 | 33% | 5.2 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
53% higher than New York averageNew York average: $66K
51% fewer fines than New York averageNew York average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York averageNew York average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 17, 2025 · $102K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 17, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
In line with New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
18% worse than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.2%
29% worse than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
17.0%
In line with New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
22% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
28% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
5.5%
24% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.3%
78% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
5.8%
6% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
24.4%
35% worse than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
8.9%
29% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
6% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
7% worse than New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
29% worse than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.47
9% worse than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
13% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
29% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
16% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.7%
49% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.5%
49% worse than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
123% worse than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.8%
18% worse than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
31.5%
38% worse than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
188Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Buffalo Center for Rehabilitation and Nursing based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #210 / 382Payroll — State benchmarkedThis home is ranked 210th out of 382 homes in New York for payroll. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
2.0 miles from city center
Estimated distance in miles from Buffalo's city center to Buffalo Center for Rehabilitation and Nursing's address, calculated via Google Maps.
Add your location
Buffalo Center for Rehabilitation and Nursing is located in Buffalo, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Edison Home Health Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Buffalo (Leroy) | 80
Facility
80
NY AVG
160
Rank
#581 / 748 | - | - | 4.77 | -7% | +33% | $0 | - | 9 | 3.0 | - | 75 |
74
Facility
74
NY AVG
63
Rank
#543 / 1173 | - | - | - | - | 335419 | ||||
| Sheridan Manor Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Tonawanda Town (Sheridan Drive) | 44
Facility
44
NY AVG
160
Rank
#700 / 748 | - | - | 4.21 | -71% | +18% | $0 | - | 14 | 7.0 | - | 41 |
77
Facility
77
NY AVG
63
Rank
#503 / 1173 | - | $8.5M | $2.9M | 34.6% | 335366 | ||||
| Schofield Residence Nursing Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Buffalo (Elmwood North) | 120
Facility
120
NY AVG
160
Rank
#412 / 748 | - | - | 4.10 | -69% | +14% | $0 | - | 15 | 3.8 | - | 102 |
60
Facility
60
NY AVG
63
Rank
#696 / 1173 | James Cambell | $25.6M | $11.2M | 43.9% | 335603 | ||||
| Terrace View Long-Term Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Buffalo (East Side) | 390
Facility
390
NY AVG
160
Rank
#27 / 748 | - | - | 5.21 | +31% | +45% | $47.5k | - | 15 | 5.0 | - | 381 |
46
Facility
46
NY AVG
63
Rank
#815 / 1173 | - | - | - | - | 335650 | ||||
| Buffalo Center for Rehabilitation and Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Buffalo (Masten Park) | 200
Facility
200
NY AVG
160
Rank
#170 / 748 | 95.0% | +8% | 4.43 | -39% | +24% | $139.7k | 63 | 36 | 6.0 | 3 | 183 |
76
Facility
76
NY AVG
63
Rank
#517 / 1173 | David Denny | $32.9M | $12.9M | 39.1% | 335638 |
Buffalo Center for Rehabilitation and Nursing is in the Masten Park neighborhood of Buffalo.
The legal owner and operator of Buffalo Center for Rehabilitation and Nursing is Delaware Operations Associates, LLC (For Profit).
Buffalo Center for Rehabilitation and Nursing has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Buffalo Center for Rehabilitation and Nursing's license number is 1401341N.
Buffalo Center for Rehabilitation and Nursing's occupancy is 95%.
Buffalo Center for Rehabilitation and Nursing has 200 beds.
Buffalo Center for Rehabilitation and Nursing has had 56 recently reported deficiencies.
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