Inspection Reports for
Buffalo Center for Rehabilitation and Nursing

The complaint investigation included allegations of failure to provide medical records, verbal and mental abuse by staff, failure to timely report and investigate abuse allegations, and inadequate supervision leading to a resident fall and injury. Some allegations were substantiated with findings of verbal abuse, failure to report and investigate abuse, and failure to follow care plans resulting in injury.

The facility failed to provide timely access to medical records for a resident, failed to protect residents from verbal and mental abuse by staff, did not timely report and investigate allegations of abuse, and failed to provide adequate supervision and assistance to prevent a resident's fall resulting in a serious injury requiring hospital treatment.

Complaint #NY00383127 involved allegations that a Certified Nurse Aide took and posted on social media photographs of incontinent residents in various stages of undress without consent. The complaint was substantiated with findings of actual harm and failures in reporting and investigation.

The facility failed to protect residents from sexual and mental abuse by staff when a Certified Nurse Aide took unauthorized photographs of incontinent residents in various stages of undress and posted them on social media. The facility also failed to timely report the suspected abuse to the State Agency and law enforcement within the required 2-hour timeframe. The investigation was incomplete, lacking thorough staff and resident interviews, and the administration treated the incident as a dignity concern rather than abuse.

Complaint Survey with 4 health citations and 0 life safety code citations. Deficiencies included administration, abuse reporting, investigation and reporting of alleged violations. All deficiencies corrected by August 27, 2025.

The complaint investigations included allegations of unsanitary conditions in shower and soiled linen rooms, failure to provide timely and accurate pharmaceutical services including missed antibiotic doses and delayed medication administration, and ineffective pest control resulting in numerous flies throughout the facility.

The facility failed to maintain a safe, clean, and homelike environment with issues including dirty shower rooms, soiled linen rooms with offensive odors, unlabeled personal hygiene products, and dirty resident medical equipment. Pharmaceutical services were deficient with missed antibiotic doses for one resident and delayed medication administration for another. The facility also had an ineffective pest control program with numerous flies observed on multiple floors.

Complaint Survey with 13 health citations and 7 life safety code citations. Deficiencies included ADL care, bowel/bladder incontinence, infection control, pharmacy services, quality of care, resident rights, and multiple life safety code issues such as electrical equipment and fire drills. All deficiencies corrected by August or September 2025.

Complaint investigations revealed multiple deficiencies including dignity violations due to flies, unsanitary conditions, medication errors, infection control breaches, and failure to provide ordered treatments and assessments.

The facility was found deficient in multiple areas including dignity and respect for residents due to fly infestations, unsafe and unsanitary environment conditions, failure to complete timely comprehensive resident assessments, inadequate personal care and grooming, failure to provide treatment and care according to orders, improper catheter care, failure to provide enteral feeding as ordered, inaccurate nurse staffing postings, pharmaceutical service deficiencies, inadequate infection prevention and control practices, and ineffective pest control program.

Complaint #NY00364627 involved a staff altercation recorded and posted on social media violating resident privacy. Complaint #NY00375418 involved failure to investigate an injury of unknown origin for Resident #4. Both complaints were substantiated with findings of minimal harm.

The facility failed to ensure residents were treated with dignity and respect when staff engaged in a physical altercation in front of residents, which was recorded and posted on social media violating resident privacy. Additionally, the facility did not thoroughly investigate an injury of unknown origin sustained by a resident, resulting in inadequate abuse investigation procedures.

Complaint Survey with 2 health citations and 0 life safety code citations. Deficiencies included investigation/prevention of alleged violations and resident rights. All deficiencies corrected by June 6, 2025.

Complaint Survey with 3 health citations and 16 life safety code citations. Deficiencies included accident hazards, pharmacy services, quality of care, cooking facilities, corridor doors, fire drills, and multiple life safety code issues. All deficiencies corrected by June 25, 2024.

The facility failed to ensure appropriate treatment and care for a resident requiring weekly blood tests and an intravenous catheter care plan. Additionally, the facility had unsafe hot water temperatures exceeding 120 degrees Fahrenheit on all resident floors. The facility also lacked proper pharmaceutical controls, including inadequate narcotic storage accountability and incomplete narcotic reconciliation records.

Complaint #NY00316275 was substantiated. The investigation confirmed physical and verbal abuse by CNA #1 against Resident #1.

The facility did not ensure Resident #1's right to be free from physical abuse. A CNA was witnessed hitting the resident with a pillow and using profanity. The facility conducted an investigation, suspended and terminated the CNA, and re-educated staff on abuse and neglect.

Complaint Survey with 1 health citation and 0 life safety code citations. Deficiency related to free from abuse and neglect. Corrected as of May 12, 2023.

Complaint Survey with 10 health citations and 0 life safety code citations. Deficiencies included antibiotic stewardship, bowel/bladder incontinence, Covid-19 testing, drug regimen, food procurement, Medicaid/Medicare notices, pharmacy services, reporting of alleged violations, tube feeding management. All corrected by November 16, 2022.

Complaint investigation (Complaint #NY00296367) found failure to timely report resident-to-resident abuse involving two residents.

The facility was found deficient in multiple areas including failure to provide required Medicare notices to residents, untimely reporting of abuse, inadequate catheter care, medication errors including wrong enteral feeding formula, incomplete controlled substance reconciliation, failure to act on pharmacist recommendations, unnecessary long-term antibiotic use without proper monitoring, improper food storage and labeling, lack of an effective antibiotic stewardship program, and inadequate COVID-19 PPE use during specimen collection.

Complaint Survey with 9 health citations and 1 life safety code citation. Deficiencies included ADL care, food procurement, abuse and neglect, infection control, nutrition, resident rights, dietary support, pressure ulcer treatment, and evacuation plan. All corrected by June 1, 2022.

Complaint Survey with 1 health citation and 0 life safety code citations. Deficiency related to resident records identifiable information. Corrected as of December 13, 2021.