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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.
Owned by Laura Otterbein, Williamsville Suburban is a nursing home on South Union Road in Williamsville, in Erie County, New York. Williamsville Suburban, LLC operates the 220-bed facility. It accepts Medicare, Medicaid, and private pay, offering families multiple ways to cover short-term rehabilitation and ongoing skilled nursing care. The home has an occupancy rate of 95%, which serves a patient population. Most residents stay for an average of 106 days, including post-acute rehabilitation residents and those requiring longer-term care.
The community offers rehabilitation services, making it suitable for patients recovering from an acute hospitalization, surgery, or other medical events requiring intensive therapy support. Daily nurse staffing averages roughly 3 hours and 57 minutes per resident. Nursing aide support provides an additional 3 hours and 12 minutes per day, helping residents with daily activities and personal care needs.
Inspections conducted by the state Department of Health’s Office of Aging and Long Term Care have identified concerns in areas such as infection control and other operational practices over the years. Earlier surveys reported a broader range of issues, while more recent inspections cited fewer deficiencies. When concerns were identified, the facility reported taking steps to address them. Families visiting the home should ask staff about its inspection history and how identified issues are handled.
Williamsville Suburban is in a very walkable neighborhood with a Walk Score of 81. Visiting family members can easily handle many local errands on foot and navigate the surrounding area. Being easy to reach means families can visit more frequently while their loved ones undergo rehabilitation or stay for the long term.
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 95th 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.
| 18m per day | ▼ 57% 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.
| 50m per day | ▲ 8% State avg: 47m 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 10m per day | ■ Avg 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 54m per day | ▼ 10% State avg: 3h 14m per day · National avg: 3h 27m 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.
| 4m per day | ▼ 46% 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.
| 15m per day | ▼ 49% State avg: 29m per day · National avg: 29m per day |
Higher than the New York average: 88.3%Williamsville Suburban LLC is legally operated by Williamsville Suburban, 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.
17 points below the New York average for nursing homes (83/100)
Inspection score: 66 out of 100. Letter grade D. 17 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 5 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.
| 60 | 13 | This facility has 362% more total citations than a typical New York nursing home (60 vs. NY avg 13).↑ 362% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 56 | 20 | This facility has 180% more health citations than a typical New York nursing home (56 vs. NY avg 20).↑ 180% 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 average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2022.
| 15 | 3.3 | This facility has 355% more citations per year than a typical New York nursing home (15 vs. NY avg 3.3).↑ 355% worse |
|
Citations per inspection
Average citations per inspection.
| 1.6 | 1.4 | This facility has 14% more citations per inspection than a typical New York nursing home (1.6 vs. NY avg 1.4).↑ 14% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 37 | 9 | This facility has 311% more total inspections than a typical New York nursing home (37 vs. NY avg 9).↑ 311% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 13 | 4 | This facility has 225% more inspections with citations than a typical New York nursing home (13 vs. NY avg 4).↑ 225% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 35% | 44% | This facility has 9 percentage points lower inspection citation rate than a typical New York nursing home (35% vs. NY avg 44%).↓ 9% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 255 | 79 | This facility has 223% more total complaints than a typical New York nursing home (255 vs. NY avg 79).↑ 223% worse |
|
Complaints per year
Average complaints per year since 2022.
| 63.8 | 19.8 | This facility has 222% more complaints per year than a typical New York nursing home (63.8 vs. NY avg 19.8).↑ 222% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.22 | 0.50 | This facility has 144% more complaints per bed than a typical New York nursing home (1.22 vs. NY avg 0.5).↑ 144% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 43 | 15 | This facility has 187% more complaint investigations than a typical New York nursing home (43 vs. NY avg 15).↑ 187% 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 May 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.
19 of 24 citations resulted from standard inspections; 3 of 24 resulted from complaint investigations; and 2 of 24 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
100% better 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.
88
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
14
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
73
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
May 07, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
677% more staff per resident than New York average
9% 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 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursAssists with medical care and medications.
58 total: 35 full-time employees and 23 contractors.
58
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 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.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,602 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 103 | 0 | 103 | 41,914 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 35 | 23 | 58 | 16,214 | 92 | 100% | 9.3 |
| Registered Nurse | 22 | 0 | 22 | 4,986 | 92 | 100% | 6.8 |
| Other Dietary Services Staff | 16 | 0 | 16 | 4,548 | 92 | 100% | 7.2 |
| Mental Health Service Worker | 8 | 0 | 8 | 3,092 | 73 | 79% | 7.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 1,413 | 65 | 71% | 7.8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,162 | 78 | 85% | 6.3 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 1,122 | 64 | 70% | 9.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,073 | 74 | 80% | 7.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,059 | 64 | 70% | 7.8 |
| Dietitian | 2 | 0 | 2 | 995 | 78 | 85% | 7.7 |
| Administrator | 2 | 0 | 2 | 477 | 67 | 73% | 7 |
| Qualified Social Worker | 0 | 1 | 1 | 470 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 66 | 72% | 7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 425 | 61 | 66% | 7 |
Includes penalties issued in 2024
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)
34% lower 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
Jan 24, 2024 · $44K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 24, 2024Last 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.
8.7
11% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
8% better than New York averageNew York average: 18.1
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
43% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
9.2%
45% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
47% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
41% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
14.9%
108% worse than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.5%
63% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
6.1%
In line with New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
66.4%
267% worse than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
23.8%
89% worse than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.9%
24% worse than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.4%
13% worse than New York averageNew York average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.8%
65% worse than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
26% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.2%
78% worse than New York averageNew York average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
172Residents 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 Williamsville Suburban LLC 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 #190 / 382Payroll — State benchmarkedThis home is ranked 190th out of 382 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.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.
0.0 miles from city center
Estimated distance in miles from Williamsville's city center to Williamsville Suburban LLC's address, calculated via Google Maps.
Add your location
Williamsville Suburban LLC is located in Williamsville, 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.
| Elderwood at Grand Island |
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. | Grand Island | 90
Facility
90
NY AVG
160
Rank
#536 / 748 |
86.7%
Facility
86.7%
NY AVG
88.3%
Rank
#294 / 432 | -2% | 3.31
Facility
3.31
NY AVG
3.58
Rank
#190 / 387 | +27% | -8% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 394 | 76 | 6
Facility
6
NY AVG
18.5
Rank
#20 / 393 | 3.0
Facility
3.0
NY AVG
5.1
Rank
#59 / 393 | - | 81 |
47
Facility
47
NY AVG
63
Rank
#809 / 1173 | Purti Varma | $15.7M
Facility
$15.7M
NY AVG
$32.0M
Rank
#320 / 382 | $6.8M
Facility
$6.8M
NY AVG
$10.7M
Rank
#331 / 382 | 43.2%
Facility
43.2%
NY AVG
37%
Rank
#275 / 382 | 335391 | ||||
| Elderwood at Hamburg |
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. | Hamburg | 166
Facility
166
NY AVG
160
Rank
#287 / 748 |
80.7%
Facility
80.7%
NY AVG
88.3%
Rank
#373 / 432 | -9% | 3.15
Facility
3.15
NY AVG
3.58
Rank
#240 / 387 | -18% | -12% | $26.0k
Facility
$26.0k
NY AVG
$67.6k
Rank
#1 / 394 | 80 | 12
Facility
12
NY AVG
18.5
Rank
#108 / 393 | 4.0
Facility
4.0
NY AVG
5.1
Rank
#125 / 393 | - | 138 |
79
Facility
79
NY AVG
63
Rank
#475 / 1173 | 5775 Maelou Drive Operating Company, LLC (For Profit) | $24.1M
Facility
$24.1M
NY AVG
$32.0M
Rank
#242 / 382 | $10.7M
Facility
$10.7M
NY AVG
$10.7M
Rank
#257 / 382 | 44.5%
Facility
44.5%
NY AVG
37%
Rank
#251 / 382 | 335679 | ||||
| Elderwood at Amherst |
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. | Amherst | 92
Facility
92
NY AVG
160
Rank
#528 / 748 |
89.1%
Facility
89.1%
NY AVG
88.3%
Rank
#250 / 432 | +1% | 4.24
Facility
4.24
NY AVG
3.58
Rank
#59 / 387 | -33% | +18% | $25.3k
Facility
$25.3k
NY AVG
$67.6k
Rank
#336 / 394 | 68 | 10
Facility
10
NY AVG
18.5
Rank
#74 / 393 | 3.3
Facility
3.3
NY AVG
5.1
Rank
#84 / 393 | 1 | 84 |
37
Facility
37
NY AVG
63
Rank
#897 / 1173 | Warren Cole | $18.3M
Facility
$18.3M
NY AVG
$32.0M
Rank
#291 / 382 | $8.0M
Facility
$8.0M
NY AVG
$10.7M
Rank
#311 / 382 | 43.9%
Facility
43.9%
NY AVG
37%
Rank
#263 / 382 | 335056 | ||||
| Elderwood at Cheektowaga |
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. | Cheektowaga | 172
Facility
172
NY AVG
160
Rank
#282 / 748 |
91.3%
Facility
91.3%
NY AVG
88.3%
Rank
#307 / 432 | +3% | 3.62
Facility
3.62
NY AVG
3.58
Rank
#138 / 387 | -49% | +1% | $0
Facility
$0
NY AVG
$67.6k
Rank
#1 / 394 | 84 | 19
Facility
19
NY AVG
18.5
Rank
#233 / 393 | 3.2
Facility
3.2
NY AVG
5.1
Rank
#82 / 393 | - | 159 |
6
Facility
6
NY AVG
63
Rank
#1117 / 1173 | Larry Piselli | $30.1M
Facility
$30.1M
NY AVG
$32.0M
Rank
#196 / 382 | $13.4M
Facility
$13.4M
NY AVG
$10.7M
Rank
#204 / 382 | 44.6%
Facility
44.6%
NY AVG
37%
Rank
#250 / 382 | 335752 | ||||
| Williamsville Suburban LLC |
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 | 220
Facility
220
NY AVG
160
Rank
#148 / 748 |
95.0%
Facility
95.0%
NY AVG
88.3%
Rank
#364 / 432 | +8% | 3.94
Facility
3.94
NY AVG
3.58
Rank
#95 / 387 | -26% | +10% | $44.0k
Facility
$44.0k
NY AVG
$67.6k
Rank
#346 / 394 | 66 | 24
Facility
24
NY AVG
18.5
Rank
#297 / 393 | 4.8
Facility
4.8
NY AVG
5.1
Rank
#203 / 393 | - | 211 |
81
Facility
81
NY AVG
63
Rank
#437 / 1173 | Laura Otterbein | $35.3M
Facility
$35.3M
NY AVG
$32.0M
Rank
#150 / 382 | $14.2M
Facility
$14.2M
NY AVG
$10.7M
Rank
#190 / 382 | 40.2%
Facility
40.2%
NY AVG
37%
Rank
#305 / 382 | 335647 |
The legal owner and operator of Williamsville Suburban LLC is Williamsville Suburban, LLC (For Profit).
Williamsville Suburban LLC 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, Williamsville Suburban LLC's license number is 1421306N.
Williamsville Suburban LLC's occupancy is 95%.
Williamsville Suburban LLC has 220 beds.
Williamsville Suburban LLC has had 60 recently reported deficiencies.
Yes — there are 5 photos of Williamsville Suburban LLC in the photo gallery on this page.
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