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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.
Elderwood at Wheatfield is a 123-bed skilled nursing community in Niagara Falls, New York, offering skilled nursing, subacute rehabilitation, memory care, oncology support, palliative care, and respite care. It is operated by 2600 Niagara Falls Boulevard Operating Company, LLC, as part of the Elderwood network. Elderwood at Wheatfield is part of a Continuing Care Retirement Community and accepts Medicare, Medicaid, and private pay.
The facility holds a 2-star overall CMS rating, with a 1-star quality measures rating driving the gap below the New York average. Across 21 inspections since 2019, the facility recorded 31 total citations — 138% above the New York average of 13 — along with 156 complaints, nearly double the state norm. One enforcement action related to quality of care was issued in March 2021.
The August 2024 inspection identified 22 deficiencies. These were related to infection control, resident rights, and life safety systems, and all of the issues were corrected by October 2024. No fines, immediate jeopardy findings, or license actions appear in the record. One metric stands out positively: only 24% of inspections resulted in citations, compared to a New York average of 44%.
Nurse staffing averages 3 hours and 18 minutes per resident per day, about 5% below the state average, with CNA hours notably lower than peers. Physical therapist hours offset this partially, running 29% above the New York average — a relevant figure for the short-stay population the facility primarily serves.
The facility’s rehabilitation gym, subacute rehabilitation program, oncology services, and palliative care capacity distinguish it from general SNF peers in Niagara County. The facility’s occupancy rate is 93%, above the New York average of 88%, suggesting consistent local demand. The average length of stay of residents is around 108 days, with an admission mix that runs roughly three-quarters private pay and Medicare.
Elderwood at Wheatfield is best studied for seniors looking for short-term post-acute stays.
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 190th 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.
| 41m per day | ▼ 3% 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.
| 44m per day | ▼ 4% 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.
| 1h 37m per day | ▼ 26% 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.
| 2h 38m per day | ▼ 17% 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.
| 12m per day | ▲ 65% 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.
| 25m per day | ▼ 11% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Elderwood at Wheatfield is legally operated by 2600 Niagara Falls Boulevard Operating Company, LLC (For Profit).
In New York State, 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 state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
5 points below the New York State average for nursing homes (83/100)
Inspection score: 78 out of 100. Letter grade C+. 5 points below the New York State average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York State 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 1 enforcement action. 33% of New York State 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 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.
| 31 | 13 | This facility has 138% more total citations than a typical New York State nursing home (31 vs. NY avg 13).↑ 138% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 27 | 20 | This facility has 35% more health citations than a typical New York State nursing home (27 vs. NY avg 20).↑ 35% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2019.
| 4.4 | 1.9 | This facility has 132% more citations per year than a typical New York State nursing home (4.4 vs. NY avg 1.9).↑ 132% worse |
|
Citations per inspection
Average citations per inspection.
| 1.5 | 1.4 | This facility has 7% more citations per inspection than a typical New York State nursing home (1.5 vs. NY avg 1.4).↑ 7% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 9 | This facility has 133% more total inspections than a typical New York State nursing home (21 vs. NY avg 9).↑ 133% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 4 | This facility has 25% more inspections with citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 24% | 44% | This facility has 20 percentage points lower inspection citation rate than a typical New York State nursing home (24% vs. NY avg 44%).↓ 20% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 156 | 79 | This facility has 97% more total complaints than a typical New York State nursing home (156 vs. NY avg 79).↑ 97% worse |
|
Complaints per year
Average complaints per year since 2019.
| 22.3 | 11.3 | This facility has 97% more complaints per year than a typical New York State nursing home (22.3 vs. NY avg 11.3).↑ 97% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.45 | 0.50 | This facility has 190% more complaints per bed than a typical New York State nursing home (1.45 vs. NY avg 0.5).↑ 190% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 22 | 15 | This facility has 47% more complaint investigations than a typical New York State nursing home (22 vs. NY avg 15).↑ 47% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Aug 2024
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 13 citations resulted from standard inspections; and 4 of 13 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State 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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1386% more staff per resident than New York average
0% compared with 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 40 RN Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
All 45 LPN Staff are full-time employees. No contractors work on this role.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
All 103 CNA Staff are full-time employees. No contractors work on this role.
103
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 103 | 0 | 103 | 17,568 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 45 | 0 | 45 | 7,999 | 92 | 100% | 8.3 |
| Registered Nurse | 40 | 0 | 40 | 6,078 | 92 | 100% | 7.2 |
| Physical Therapy Assistant | 22 | 0 | 22 | 2,571 | 87 | 95% | 7.1 |
| Respiratory Therapy Technician | 17 | 0 | 17 | 2,085 | 83 | 90% | 7.2 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 889 | 65 | 71% | 7.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 787 | 55 | 60% | 7.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 748 | 75 | 82% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 745 | 57 | 62% | 7.7 |
| Occupational Therapy Aide | 4 | 0 | 4 | 621 | 68 | 74% | 7.4 |
| Mental Health Service Worker | 4 | 0 | 4 | 534 | 61 | 66% | 7.5 |
| Qualified Social Worker | 3 | 0 | 3 | 494 | 65 | 71% | 7.4 |
| Dietitian | 2 | 0 | 2 | 458 | 61 | 66% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 441 | 59 | 64% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 398 | 53 | 58% | 7.5 |
| Administrator | 1 | 0 | 1 | 375 | 50 | 54% | 7.5 |
| Medical Director | 2 | 0 | 2 | 203 | 35 | 38% | 5.8 |
| Feeding Assistant | 3 | 0 | 3 | 171 | 34 | 37% | 3 |
| Physician Assistant | 1 | 0 | 1 | 170 | 34 | 37% | 5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 49 | 14 | 15% | 3.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 47 | 6 | 7% | 7.9 |
| Diagnostic X-ray Services Staff | 1 | 0 | 1 | 16 | 6 | 7% | 2.6 |
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.
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.
15.4
57% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
51% worse than New York State averageNew York State 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
24.2%
47% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
24.7%
49% worse than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.4%
56% worse than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
192% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
13.7%
92% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.9%
37% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
5.9%
In line with New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
3.5%
81% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
15.9%
26% worse than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
In line with New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.4%
5% worse than New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.46
15% better than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.29
In line with New York State averageNew York State 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
74.8%
In line with New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
14% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.2%
In line with New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
34% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.3%
12% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.3%
5% better than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
71% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
106Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Elderwood at Wheatfield 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 #278 / 382Payroll — State benchmarkedThis home is ranked 278th 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.
3.8 miles from city center
Estimated distance in miles from Niagara Falls's city center to Elderwood at Wheatfield's address, calculated via Google Maps.
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Elderwood at Wheatfield is located in Niagara Falls, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Elderwood at Wheatfield is 2600 Niagara Falls Boulevard Operating Company, LLC (For Profit).
Elderwood at Wheatfield has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NY state health department records, Elderwood at Wheatfield's license number is 3121304N.
Elderwood at Wheatfield's occupancy is 93%.
Elderwood at Wheatfield has 123 beds.
Elderwood at Wheatfield has had 31 recently reported deficiencies.
Yes — there are 5 photos of Elderwood at Wheatfield in the photo gallery on this page.
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