Buffalo Center For Rehabilitation And Nursing

In the surveyor’s words

From the most serious findings on record at Buffalo Center For Rehabilitation And Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF725May 3, 2021

  Based on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY 451 and NY 008) completed on 5/3/21, the facility failed to ensure sufficient nursing staff to provide nursing and related services and safety to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care in accordance with the facility assessment. Specifically, 5/1/21 to 5/2/21, during the 11:00 PM to 7:00 AM Shift: unit 4's staffing was 1 Licensed Practical Nurse (LPN) and 1 Certified Nurse Aide (CNA) for 53 residents. […]

• Actual harm, patternF600Jul 1, 2025

  Based on observation, interview, and record review conducted during an Abbreviated Partial Extended survey (Complaint #NY00383127), the facility failed to protect residents from sexual and mental abuse by staff for four (4) (Residents #1, #2, #3, and #4) of six (6) residents reviewed for abuse. Specifically, Certified Nurse Aide #1 took personal photographs of heavily soiled incontinent residents in various stages of undress without their consent, including some with their buttocks and genitalia exposed. The photographs were posted on social media along with text messages and descriptions of the lack of resident care. […]

• Actual harm, isolatedF600Nov 12, 2025

  Based on observation, interview, and record review conducted during an Abbreviated Survey (Complaint #2656144), the facility failed to protect residents from verbal and mental abuse by staff for one (1) (Resident #1) of six (6) residents reviewed for abuse. Specifically, on 10/29/2025, it was observed that Certified Nurse Aide #2 yelled at Resident #1 in a harsh, demeaning tone for urinating on themselves and their surroundings. Certified Nurse Aide #2 then verbally threatened the resident they were going to get moved to another floor. After the verbally abusive encounter, Resident #1 was tearful and appeared saddened. […]

• Actual harm, isolatedF689Nov 12, 2025

  Based on interview and record review conducted during an Abbreviated survey (Complaint #2624947) the facility did not ensure that each resident received adequate supervision and assistive devices to prevent accidents for one (1) (Resident #4) of four (4) residents reviewed for accidents. Specifically, Resident #4 was not provided with total assistance of two (2) staff members for bed mobility as per the comprehensive plan of care resulting in the resident falling from their bed, sustaining a multilayered facial laceration (deep gash in multiple tissue layers) to their left cheek and swelling to their left eye. Resident #4 was transferred to the hospital and required surgical repair of the laceration. This resulted in actual harm to Resident #4 that is not Immediate Jeopardy. […]

• Actual harm, isolatedF600Jul 20, 2021

  Based on observation, interview and record review conducted during a Complaint Investigation (Complaint #NY 662) completed during the Standard survey on 7/20/21, the facility failed to ensure the resident's right to be free from abuse and neglect for two (Resident #10, 90) of eight residents reviewed. Specifically, Certified Nursing Assistant (CNA) #3 entered Resident #10's bathroom, while the resident was in the bathroom. Resident #10 became agitated, an altercation ensued, and CNA #3 slammed the door causing the resident to fall to floor. Resident #10 was sent to the hospital for evaluation and treatment and returned to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in actual harm for Resident #10 that is not immediate jeopardy. […]