Elderwood at Williamsville
200 Bassett Road · Williamsville, NY · 14221 · 7166896681
200 certified beds For profit - Limited Liability company Chain: Elderwood
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$75,553 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.12 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 1 · $75,553 |
Inspection citations (22 in the current record)
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Potential for harm · D April 21, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D July 22, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 12, 2025 · Pharmacy Service
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Potential for harm · D May 1, 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 June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 21, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · E January 21, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 12, 2025 · Nutrition and Dietary
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Potential for harm · E January 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2025 · Nutrition and Dietary
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Potential for harm · D January 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 12, 2025 · Resident Rights
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Potential for harm · D January 21, 2025 · found via complaint
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 March 12, 2025 · Quality of Life and Care
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Potential for harm · F January 21, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 12, 2025 · Nursing and Physician Services
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Potential for harm · D April 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 17, 2023 · Quality of Life and Care
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Potential for harm · D December 20, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 17, 2023 · Quality of Life and Care
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Potential for harm · D December 20, 2022
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 17, 2023 · Quality of Life and Care
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Potential for harm · D December 20, 2022
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 February 17, 2023 · Pharmacy Service
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Potential for harm · D December 20, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 17, 2023 · Nutrition and Dietary
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Potential for harm · D December 20, 2022
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected February 17, 2023 · Nutrition and Dietary
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Potential for harm · D December 20, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 17, 2023 · Nutrition and Dietary
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Potential for harm · D September 23, 2020
Honor the resident's right to manage his or her financial affairs.
Corrected November 18, 2020 · Resident Rights
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Potential for harm · D September 23, 2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 18, 2020 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 21, 2025 | Fine | $75,553 |
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 335326 · certified since May 9, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.