Elderwood at Amherst — nursing home in Amherst, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 92 CMS-certified beds (not state-licensed beds)
Licensed beds: 92 state-licensed beds · New York State Department of Health
State license: 1451307N active · licensee 4459 Bailey Avenue Operating Company, LLC
Average residents per day: 81.1 CMS, MDS-derived
CMS Certification Number: 335056
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 9, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): 4459 Bailey Avenue Operating Company LLC
CMS chain: Elderwood 17 facilities
Phone: (716) 835-2543
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Aug 20, 2026

Citations

26

13 health · 13 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E14	F·
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$25,262

Payment denials

0

Latest

Dec 15, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335056
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 92
First approved: Jan 9, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 1451307N
State facility ID: 232
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 92
Bed certifications: RHCF: 92
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: 4459 Bailey Avenue Operating Company, LLC · LLC
Initially licensed: Feb 1, 1989
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 20, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Dec 4, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 18, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 18, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 15, 2023	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Dec 15, 2023	Health	Health Complaint, Health Standard	3	Immediate jeopardy	—	Open →
May 3, 2022	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 3, 2022	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 15, 2023	Civil money penalty (fine)	$25,262	—	335056\|Fine\|22111

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E14	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 20, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Sep 10, 2026	Complaint
Dec 4, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 30, 2026	Complaint
Apr 18, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2025
Apr 18, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2025
Apr 18, 2025	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2025
Apr 18, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2025
Apr 18, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2025
Apr 18, 2025	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 12, 2025
Apr 18, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 12, 2025
Apr 18, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 12, 2025
Jan 16, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 12, 2025	Complaint
Dec 15, 2023	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Feb 1, 2024
Dec 15, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 1, 2024
Dec 15, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 1, 2024	Complaint
Dec 15, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 1, 2024
May 3, 2022	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 27, 2022
May 3, 2022	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 27, 2022
May 3, 2022	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 27, 2022
May 3, 2022	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 27, 2022
May 3, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 27, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.77

State avg 3.69US avg 3.90

Registered nurse (RN)0.68

State avg 0.73US avg 0.69

Licensed practical nurse0.86

State avg 0.76US avg 0.86

Nurse aide2.22

State avg 2.20US avg 2.35

Weekend total nurse3.17

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.06 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover55.4%

State avg 40.3%US avg 45.3%

Registered nurse turnover43.8%

State avg 39.6%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 18, 2025
Cycle 1 health score: 36
Total weighted score: 49.75

Operating entity

4459 Bailey Avenue Operating Company LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Elderwood

17 facilities in 3 states. CMS chain ID 196.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

5

Organizations

0

Individuals

5

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Warren Cole	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 14, 2011
Jeffrey Rubin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 14, 2011

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Warren Cole	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 14, 2011
Jeffrey Rubin	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 14, 2011
Warren Cole	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 14, 2011
Jeffrey Rubin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 14, 2011
Ann Harris	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 7, 2021

Same chain in New York

All 16 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Elderwood of Uihlein at Lake Placid 185 Old Military Road, Lake Placid, NY 12946 CCN 335267	156	Oct 2, 2024	35	—
Elderwood at Williamsville 200 Bassett Road, Williamsville, NY 14221 CCN 335326	200	Apr 21, 2026	411 harm	$76k
Elderwood at Waverly 37 North Chemung Street, Waverly, NY 14892 CCN 335346Abuse icon	200	Mar 11, 2026	542 IJ	$82k
Elderwood at Grand Island 2850 Grand Island Blvd, Grand Island, NY 14072 CCN 335391	90	Dec 2, 2025	28	—
Elderwood at North Creek 112 Ski Bowl Road, North Creek, NY 12853 CCN 335429	82	Sep 20, 2024	34	—
Elderwood at Ticonderoga 101 Adirondack Drive, Ticonderoga, NY 12883 CCN 335482	84	Aug 20, 2025	38	$4,516
Elderwood at Lockport 104 Old Niagara Road, Lockport, NY 14094 CCN 335500	126	Mar 13, 2026	251 harm	$113k
Elderwood of Lakeside at Brockport 170 West Avenue, Brockport, NY 14420 CCN 335569	120	Apr 2, 2025	10	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4459 Bailey Avenue, Amherst, NY 14226
ZIP: 14226
County: Erie County FIPS 36029
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Safire Rehabilitation of Northtowns, L L C 2799 Sheridan Drive, Tonawanda, NY 14150 CCN 335180	1.4 km	100	Jul 2, 2026	831 IJ	$13k
Beechwood Homes 2235 Millersport Highway, Getzville, NY 14068 CCN 335468	5 km	272	Jul 3, 2025	37	—
Comprehensive Rehabilitation and Nursing Center at 147 Reist Street, Williamsville, NY 14221 CCN 335172	5.3 km	142	Jul 13, 2026	1203 IJ	$61k
Williamsville Suburban, LLC 193 South Union Road, Williamsville, NY 14221 CCN 335647	5.3 km	220	Jul 31, 2026	721 harm	$44k
Schofield Residence 3333 Elmwood Avenue, Kenmore, NY 14217 CCN 335603	5.5 km	120	Apr 9, 2025	27	—
Terrace View Long Term Care Facility 462 Grider Street, Buffalo, NY 14215 CCN 335650Abuse icon	5.7 km	390	Jul 8, 2026	362 harm	$40k
Mcauley Residence 1503 Military Road, Kenmore, NY 14217 CCN 335433	5.9 km	160	Jan 8, 2025	18	—
St Catherine Laboure Health Care Center 2157 Main Street, Buffalo, NY 14214 CCN 335419	5.9 km	80	Feb 13, 2026	36	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335056	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335056	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	232	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	232	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335056

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction