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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Canterbury Woods is a 48-bed nonprofit skilled nursing facility in Williamsville, Erie County, established in 1999 with church-related nonprofit ownership and continuing care retirement community status. It provides short-term rehabilitation, long-term care, assisted living, and skilled nursing services. Medicare and Medicaid certified with 81-89 percent occupancy averaging 39-43 residents, it maintains resident and family councils emphasizing personalized care and holistic wellbeing.
Canterbury Woods received a three-star overall CMS rating, slightly above state average of 3.33 and equal to national average of 3.32. Health inspection rating is four stars; staffing rating is one star; quality measures rating is four stars. Recent inspection records documented 24 deficiencies, 42 complaints, and 23 total citations. Critically, the facility reports zero federal fines, zero payment denials, zero substantiated complaints on current record, and zero facility incidents. That’s an extraordinary safety achievement contrasting sharply with the one-star staffing rating indicating inadequate nurse hours per resident. This bifurcation suggests operational excellence and safety compliance coexisting with structural understaffing constraints.
The inspection timeline presents regulatory concern: the most recent health inspection occurred December 30, 2021, exceeding the standard 9-15 month inspection interval by over four years. This substantial oversight gap precludes current facility assessment against evolving regulatory standards and creates uncertainty regarding contemporary compliance status.
Canterbury Woods offers physical therapy, occupational therapy, speech-language pathology, dental care, clinical laboratory, psychiatry, social work, and physician oversight. The small 48-bed size enables individualized attention and personalized care planning distinctive from larger facilities. Church-related nonprofit governance and continuing care community integration provide mission-driven operations and resident-centered culture. Automatic sprinkler systems and resident-family councils support safety infrastructure and community voice.
The exceptional zero-incident, zero-fine, zero-complaint safety record demonstrates sustained operational stability and family satisfaction despite substantive staffing constraints. This pattern suggests competent clinical governance, effective safety protocols, and resilient resident experience despite quantitative nurse-hour deficiencies.
Canterbury Woods is well-suited for families prioritizing safety culture, personalized attention, and community engagement who can independently verify current staffing adequacy, obtain nursing-hour documentation addressing one-star ratings, and confirm compliance status given the four-year inspection interval gap.
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 17th out of 347 homes in New York.| Staff type | Hours / day | 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.
| 1h 7m per day | ▲ 72% State avg: 39m 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.
| 1h 30m per day | ▲ 23% State avg: 1h 13m 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.
| 3h 23m per day | ▲ 28% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 59m per day | ▼ 3% State avg: 4h 5m 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.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 55m per day | ▲ 83% State avg: 30m per day · National avg: 28m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
23% of new residents, usually for short-term rehab.
77% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #153 / 344Payroll — state benchmarkedThis home is ranked 153rd out of 344 homes in New York.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the New York average: 88.3%Canterbury Woods is legally operated by Episcopal Church Home and Affiliates Life Care Community, Inc (Not for Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 29 | This facility has 28% fewer total citations than a typical New York assisted living residence (21 vs. NY avg 29).↓ 28% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 16 | 20 | This facility has 20% fewer health citations than a typical New York assisted living residence (16 vs. NY avg 20).↓ 20% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 4 | This facility has 25% more life safety citations than a typical New York assisted living residence (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2021.
| 4.2 | 5.8 | This facility has 28% fewer citations per year than a typical New York assisted living residence (4.2 vs. NY avg 5.8).↓ 28% better |
|
Citations per inspection
Average citations per inspection.
| 2.6 | 3.2 | This facility has 19% fewer citations per inspection than a typical New York assisted living residence (2.6 vs. NY avg 3.2).↓ 19% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 9 | This facility has 11% fewer total inspections than a typical New York assisted living residence (8 vs. NY avg 9).↓ 11% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 5 | This facility has inspections with citations in line with the New York average (5 vs. NY avg 5).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 63% | 56% | This facility has 7 percentage points higher inspection citation rate than a typical New York assisted living residence (63% vs. NY avg 56%).↑ 7% worse |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 38 | 79 | This facility has 52% fewer total complaints than a typical New York assisted living residence (38 vs. NY avg 79).↓ 52% better |
|
Complaints per year
Average complaints per year since 2021.
| 7.6 | 15.8 | This facility has 52% fewer complaints per year than a typical New York assisted living residence (7.6 vs. NY avg 15.8).↓ 52% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.92 | 0.50 | This facility has 84% more complaints per bed than a typical New York assisted living residence (0.92 vs. NY avg 0.5).↑ 84% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 10 | 15 | This facility has 33% fewer complaint investigations than a typical New York assisted living residence (10 vs. NY avg 15).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 8, 2025, identified deficiencies in health and life safety areas including abuse and neglect, infection control, nurse staffing, pressure ulcer treatment, and fire safety, all of which were corrected by February 2025. Earlier inspections showed a pattern of similar issues involving infection control, abuse and neglect policies, nurse staffing, and life safety code compliance, with all cited deficiencies addressed promptly. Inspectors noted recurring themes around abuse prevention, infection control, and life safety system maintenance. Complaint investigations did not result in substantiated findings, and no fines or enforcement actions were listed in the available reports. The facility’s record suggests ongoing attention to these areas with corrections made after each inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York average 3.6
Last Health inspection on Jan 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.
7 of 9 citations resulted from standard inspections; and 2 of 9 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
0
100% better than New York averageNew York average: 0.2
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 08, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 08, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 08, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
5
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
4
4 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2003
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 24, 2026Canterbury Woods is located in Williamsville, New York.
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0.0 miles from city center
Estimated distance in miles from Williamsville's city center to Canterbury Woods's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
810% better than New York averageNew York average ratio: 0.18:1
0% compared with New York averageNew York average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 33 | 0 | 33 | 9,217 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 14 | 0 | 14 | 2,870 | 91 | 100% | 7.2 |
| Registered Nurse | 10 | 0 | 10 | 2,403 | 91 | 100% | 7.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 514 | 65 | 71% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 461 | 60 | 66% | 7.7 |
| Administrator | 1 | 0 | 1 | 452 | 57 | 63% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 434 | 58 | 64% | 7.5 |
| Speech Language Pathologist | 1 | 0 | 1 | 359 | 49 | 54% | 7.3 |
| RN Director of Nursing | 2 | 0 | 2 | 293 | 37 | 41% | 7.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
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.
14.7
50% worse than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
25% worse than New York averageNew York average: 18.1
Percent of long-stay residents whose need for help with daily activities has increased
23.1%
41% worse than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
20.8%
26% worse than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
11% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
121% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
10.3%
43% worse than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
4.0%
184% worse than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
12.9%
111% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
9.5%
48% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
18.4%
46% worse than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
9% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
In line with New York averageNew York average: 95.2%
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
88.2%
15% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
101% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
9% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
50% worse than New York averageNew York average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.6%
32% better than New York averageNew York average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.7%
22% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.0%
23% better 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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the New York State Department of Health.
| Canterbury Woods |
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. | Williamsville | - | 50 | 81 | - |
| Brothers of Mercy Nursing & Rehabilitation Center |
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. | Clarence | - | 240 | 51 | - |
Historical financial and operational data for Canterbury Woods based on CMS SNF Cost Reports.
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The legal owner and operator of Canterbury Woods is Episcopal Church Home and Affiliates Life Care Community, Inc (Not for Profit).
Canterbury Woods has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Canterbury Woods's license number is 1421305N.
Canterbury Woods's occupancy is 82%.
Canterbury Woods has 50 beds.
Canterbury Woods has had 21 recently reported deficiencies.
Yes — there are 7 photos of Canterbury Woods in the photo gallery on this page.
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