Delaware Oaks Center for Rehabilitation and Nursi

1205 Delaware Avenue · Buffalo, NY · 14209 · 7168853838

95 certified beds For profit - Partnership Chain: The Grand Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

Cited under the freedom-from-abuse rule

Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 80
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 46
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.373.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Potential for harm · D November 24, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 24, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 26, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2025 · Infection Control

  • Potential for harm · D August 9, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 9, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 7, 2024 · Quality of Life and Care

  • Potential for harm · D August 9, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected October 7, 2024 · Quality of Life and Care

  • Potential for harm · F August 9, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected October 7, 2024 · Environmental

  • Potential for harm · E August 9, 2024 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected October 7, 2024 · Resident Rights

  • Potential for harm · D August 9, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 9, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 9, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected October 7, 2024 · Nutrition and Dietary

  • Potential for harm · D March 24, 2023

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 12, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 24, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 12, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 24, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 12, 2023 · Pharmacy Service

  • Potential for harm · F March 24, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 12, 2023 · Nutrition and Dietary

  • Potential for harm · E March 24, 2023

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 12, 2023 · Environmental

  • Potential for harm · D April 14, 2021

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 8, 2021 · Resident Rights

  • Potential for harm · D April 14, 2021

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 8, 2021 · Quality of Life and Care

  • Potential for harm · D April 14, 2021

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected June 8, 2021 · Quality of Life and Care

  • Potential for harm · D April 14, 2021

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected June 8, 2021 · Pharmacy Service

  • Potential for harm · D April 14, 2021

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 8, 2021 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335640 · certified since April 21, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.