{"schema_version":"1.0.0","facility":{"id":"cms-335757","ccn":"335757","name":"Harris Hill Nursing Facility, L L C","source_name":"HARRIS HILL NURSING FACILITY, L L C","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NY","address":{"line1":"2699 Wehrle Drive","city":"Williamsville","state":"NY","zip":"14221","county_name":"Erie County","county_fips":"36029","county_method":"name_match","ssa_county_code":"240","urban":true},"location":{"lat":42.9563,"lon":-78.687,"method":"cms_published_coordinates"},"phone":"7166323700","certification":{"authority":"CMS","ccn":"335757","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1992-04-08","certified_beds":192,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/335757"},"licenses":[{"state":"NY","authority":"New York State Department of Health (NYSDOH)","license_number":"1406301N","state_facility_id":"3455","license_type":"Residential Health Care Facility - SNF","status":"active","licensed_beds":192,"initial_license_date":"1992-04-08","licensee":"Harris Hill Nursing Facility, LLC","licensee_entity_type":"LLC","as_of":"2026-10-23","evidence_class":"INFERRED","source_id":"ny_doh_health_facilities","source_url":"https://health.data.ny.gov/d/vn5v-hh5r","link_method":"exact_address_zip","bed_certifications":{"RHCF":192}}],"capacity":{"certified_beds":192,"licensed_beds":192,"avg_residents_per_day":185.9},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"HARRIS HILL NURSING FACILITY, LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":4},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.02634,"lpn_hprd":1.00674,"rn_hprd":0.37234,"licensed_hprd":1.37908,"total_nurse_hprd":3.40542,"weekend_total_nurse_hprd":2.84359,"weekend_rn_hprd":0.17075,"pt_hprd":0.24232,"nursing_turnover_pct":52,"rn_turnover_pct":26.3,"administrators_left":0,"case_mix_index":1.29854,"case_mix_index_ratio":0.92078,"case_mix_total_nurse_hprd":3.59184,"adjusted_total_nurse_hprd":3.66938,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-21","cycle1_deficiencies":5,"cycle1_score":20,"cycle2_date":"2024-06-28","cycle23_deficiencies":3,"cycle23_score":12,"total_weighted_score":18},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-510","cms_chain_id":"510","name":"THE MCGUIRE GROUP"},"operator_id":"op-harris-hill-nursing-facility-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/335757","provenance":[{"source_id":"cms_provider_info","source_record_id":"335757","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"335757","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"ny_doh_health_facilities","source_record_id":"3455","url":"https://health.data.ny.gov/d/vn5v-hh5r","retrieved_at":"2026-11-07T14:53:59.549Z","source_updated_at":"2026-10-23","effective_date":"2026-10-23","jurisdiction":"NY","fields":["state_license","licensed_beds","licensee"],"evidence_class":"INFERRED","status":"current","note":"Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN)."},{"source_id":"ny_doh_facility_beds","source_record_id":"3455","url":"https://health.data.ny.gov/d/2g9y-7kqm","retrieved_at":"2026-11-07T14:54:00.242Z","source_updated_at":"2026-11-01","jurisdiction":"NY","fields":["capacity","bed_certifications"],"evidence_class":"VERIFIED","status":"current"}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-04-21","latest_standard_health":"2026-04-21","earliest_date":"2022-09-21","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":37,"health_count":14,"fire_count":23,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":35,"minimal":2},"by_scope_severity":{"E":21,"D":14,"B":2},"by_concept":{"environment_life_safety":23,"resident_rights":3,"clinical_care":6,"food_nutrition":4,"infection_prevention":1},"type_ids":["cms-k0281","cms-k0321","cms-k0353","cms-k0923","cms-f0550","cms-f0656","cms-f0684","cms-f0803","cms-f0812","cms-k0100","cms-k0345","cms-k0372","cms-k0374","cms-k0911","cms-k0918","cms-k0781","cms-f0554","cms-f0600","cms-f0881","cms-k0293","cms-k0355","cms-k0363","cms-k0222","cms-f0686","cms-f0689","cms-f0690","cms-f0804","cms-f0641"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":9,"organizations":2,"individuals":7,"not_available":false}},"row":{"id":"cms-335757","ccn":"335757","name":"Harris Hill Nursing Facility, L L C","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NY","city":"Williamsville","zip":"14221","county_fips":"36029","county_name":"Erie County","address":"2699 Wehrle Drive","beds":192,"residents":185.9,"ownership":"for_profit","operator_id":"op-harris-hill-nursing-facility-llc","operator_name":"Harris Hill Nursing Facility, LLC","chain_id":"cms-chain-510","chain_name":"The Mcguire Group","lat":42.9563,"lon":-78.687,"overall":5,"health_rating":4,"staffing_rating":3,"qm_rating":5,"nurse_hprd":3.41,"turnover":52,"inspections":6,"last_inspection":"2026-04-21","deficiencies":37,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0281","cms-k0321","cms-k0353","cms-k0923","cms-f0550","cms-f0656","cms-f0684","cms-f0803","cms-f0812","cms-k0100","cms-k0345","cms-k0372","cms-k0374","cms-k0911","cms-k0918","cms-k0781","cms-f0554","cms-f0600","cms-f0881","cms-k0293","cms-k0355","cms-k0363","cms-k0222","cms-f0686","cms-f0689","cms-f0690","cms-f0804","cms-f0641"],"universe":"cms","licensed_beds":192,"state_license":"NY 1406301N","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-harris-hill-nursing-facility-llc","name":"Harris Hill Nursing Facility, LLC","legal_name":"HARRIS HILL NURSING FACILITY, LLC","facility_count":1,"states":["NY"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-510","name":"The Mcguire Group","cms_chain_id":"510","facility_count":6,"states":["NY"],"cms_reported":{"facility_count":6,"avg_overall_rating":4.2,"avg_health_inspection_rating":3.7,"avg_staffing_rating":3,"avg_qm_rating":4.5}},"ownership":[{"owner_id":"org-vestra-spv1-llc","owner_type":"organization","owner_name":"Vestra Spv1 LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2020-12-23"},{"owner_id":"org-vestra-spv2-llc","owner_type":"organization","owner_name":"Vestra Spv2 LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2020-12-23"},{"owner_type":"individual","owner_name":"Edward Farbenblum","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2020-12-23","owner_name_raw":"FARBENBLUM, EDWARD"},{"owner_type":"individual","owner_name":"Orly Lieberman","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2020-12-23","owner_name_raw":"LIEBERMAN, ORLY"},{"owner_type":"individual","owner_name":"Edward Farbenblum","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-12-23","owner_name_raw":"FARBENBLUM, EDWARD"},{"owner_type":"individual","owner_name":"Susan Grigg","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"GRIGG, SUSAN"},{"owner_type":"individual","owner_name":"Susan Grigg","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"GRIGG, SUSAN"},{"owner_type":"individual","owner_name":"Tom Phan","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"PHAN, TOM"},{"owner_type":"individual","owner_name":"Ralph Rosso","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"ROSSO, RALPH"}],"inspections":[{"id":"cms-335757-20260421-fire","ccn":"335757","date":"2026-04-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0281","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-15","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-15","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-15","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-15","std":1,"tv":"New"}]},{"id":"cms-335757-20260421-health","ccn":"335757","date":"2026-04-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","std":1},{"t":"cms-f0803","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","std":1}]},{"id":"cms-335757-20240628-fire","ccn":"335757","date":"2024-06-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0100","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0781","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0911","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-05","std":1,"tv":"New"}]},{"id":"cms-335757-20240628-health","ccn":"335757","date":"2024-06-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-05","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-05","std":1},{"t":"cms-f0881","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-05","std":1}]},{"id":"cms-335757-20220921-fire","ccn":"335757","date":"2022-09-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0355","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-14","std":1,"tv":"New"}]},{"id":"cms-335757-20220921-health","ccn":"335757","date":"2022-09-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-14","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-14","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-14","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-14","std":1},{"t":"cms-f0641","ss":"B","sl":1,"cs":"corrected","cd":"2022-10-14","std":1},{"t":"cms-f0812","ss":"B","sl":1,"cs":"corrected","cd":"2022-10-14","std":1}]}],"deficiency_types":{"cms-k0281":{"code":"K-0281","title":"Install proper backup exit lighting.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0911":{"code":"K-0911","title":"Meet requirements for the installation and maintenance of electrical systems.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335757&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NY","overall_rating":3.1,"health_inspection_rating":2.7,"qm_rating":3.9,"staffing_rating":2.9,"avg_residents_per_day":167.4,"cycle1_health_deficiencies":8.1,"cycle1_fire_deficiencies":5.7,"nurse_aide_hprd":2.2,"lpn_hprd":0.76,"rn_hprd":0.72967,"licensed_hprd":1.49,"total_nurse_hprd":3.68718,"weekend_total_nurse_hprd":3.20015,"weekend_rn_hprd":0.49,"pt_hprd":0.11,"nursing_turnover_pct":40.3,"rn_turnover_pct":39.6,"administrators_left":0.5,"case_mix_index":1.43047,"fines":0.5,"fine_amount":23590,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NY","name":"New York"},"county":{"fips":"36029","name":"Erie County"},"zip":"14221","city":"Williamsville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-335504","ccn":"335504","name":"Seneca Health Care Center","address":"2987 Seneca Street","city":"West Seneca","state":"NY","zip":"14224","beds":160,"overall":3,"inspections":7,"last_inspection":"2025-11-05","deficiencies":14,"serious":2,"ij":0,"open":0,"fines_total":9110,"status":"active","universe":"cms","licensed_beds":160,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335634","ccn":"335634","name":"Garden Gate Health Care Facility","address":"2365 Union Road","city":"Cheektowaga","state":"NY","zip":"14227","beds":184,"overall":3,"inspections":7,"last_inspection":"2025-03-19","deficiencies":44,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":184,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335649","ccn":"335649","name":"North Gate Health Care Facility","address":"7264 Nash Road","city":"North Tonawanda","state":"NY","zip":"14120","beds":200,"overall":4,"inspections":8,"last_inspection":"2026-05-13","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":200,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335662","ccn":"335662","name":"Autumn View Health Care Facility L L C","address":"S 4650 Southwestern Blvd","city":"Hamburg","state":"NY","zip":"14075","beds":230,"overall":5,"inspections":6,"last_inspection":"2026-03-13","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":230,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335694","ccn":"335694","name":"Brookhaven Health Care Facility, LLC","address":"801 Gazzola Blvd","city":"East Patchogue","state":"NY","zip":"11772","beds":160,"overall":5,"inspections":6,"last_inspection":"2026-03-04","deficiencies":15,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":160,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":5,"same_site_review":[],"nearby":[{"id":"cms-335816","ccn":"335816","name":"Canterbury Woods","address":"725 Renaissance Drive","city":"Williamsville","state":"NY","zip":"14221","beds":50,"overall":4,"inspections":6,"last_inspection":"2025-01-08","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":50,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-335172","ccn":"335172","name":"Comprehensive Rehabilitation and Nursing Center at","address":"147 Reist Street","city":"Williamsville","state":"NY","zip":"14221","beds":142,"overall":1,"inspections":14,"last_inspection":"2026-07-13","deficiencies":120,"serious":3,"ij":3,"open":0,"fines_total":60658,"status":"active","universe":"cms","licensed_beds":142,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.3},{"id":"cms-335647","ccn":"335647","name":"Williamsville Suburban, LLC","address":"193 South Union Road","city":"Williamsville","state":"NY","zip":"14221","beds":220,"overall":1,"inspections":12,"last_inspection":"2026-07-31","deficiencies":72,"serious":1,"ij":0,"open":0,"fines_total":43973,"status":"active","universe":"cms","licensed_beds":220,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-335326","ccn":"335326","name":"Elderwood at Williamsville","address":"200 Bassett Road","city":"Williamsville","state":"NY","zip":"14221","beds":200,"overall":2,"inspections":11,"last_inspection":"2026-04-21","deficiencies":41,"serious":1,"ij":0,"open":0,"fines_total":75553,"status":"active","universe":"cms","licensed_beds":180,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.8},{"id":"cms-335577","ccn":"335577","name":"Elderwood at Lancaster","address":"1818 Como Park Blvd","city":"Lancaster","state":"NY","zip":"14086","beds":96,"overall":3,"inspections":8,"last_inspection":"2025-12-23","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":96,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1},{"id":"cms-335112","ccn":"335112","name":"Brothers of Mercy Nursing & Rehabilitation Center","address":"10570 Bergtold Road","city":"Clarence","state":"NY","zip":"14031","beds":240,"overall":3,"inspections":8,"last_inspection":"2026-08-21","deficiencies":42,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","licensed_beds":240,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.5},{"id":"cms-335182","ccn":"335182","name":"Greenfield Health & Rehab Center","address":"5949 Broadway","city":"Lancaster","state":"NY","zip":"14086","beds":160,"overall":4,"inspections":7,"last_inspection":"2026-02-25","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":160,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.2},{"id":"cms-335752","ccn":"335752","name":"Elderwood at Cheektowaga","address":"225 Bennett Road","city":"Cheektowaga","state":"NY","zip":"14227","beds":172,"overall":1,"inspections":11,"last_inspection":"2026-04-23","deficiencies":50,"serious":1,"ij":0,"open":0,"fines_total":96300,"status":"active","universe":"cms","licensed_beds":172,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.8}]}}