Deficiency Index

Newfane Rehab & Health Care Center

Newfane, New York · CCN 335481

17 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
95
Surveys
17
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
165
Ownership
For profit - Limited Liability company
Chain
MAXIMUS HEALTHCARE GROUP
County
Niagara
Medicare-certified since
1976

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.

Last survey on record

Jun 5, 2025

522 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.873.37
Registered-nurse hours per resident day0.45—
Annual nurse turnover31.4%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1150.0%E731.8%F—
No harm, potential for minimalA—B418.2%C—
CMS’s current file: 22 of the 95 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5842×

    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.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5501×

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

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Newfane Rehab & Health Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF584Jun 5, 2025

    Based on observation, interview, and record review conducted during a Standard survey completed on 6/5/25, the facility did not ensure that there were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for four (4) (Unit A, B, C, and D) out of four (4) units. Issues included foul odors (Unit A, B, C, and D); shower rooms with black/brown debris with missing tiles or tiles in disrepair and dirty linens ( Unit A, B, C, D); cracked floor tiles with missing pieces (Unit D); baseboards splattered with a white substance (Unit A); walls unfinished with spackle/primer and not painted (Unit A); toothbrushes, hairbrushes, wash basins, toothpaste, and a bed pan not labeled or clean in shared bathrooms (Unit C); and soiled floor mats (Unit D). […]

  • No harm, potential for more than minimal, patternF711Jun 5, 2025

    Based on interview and record review conducted during the Standard survey completed on 6/5/25, the facility did not ensure that the physician signed and dated all orders for 13 (Resident # 1, 5, 9, 15, 20, 28, 20, 42, 48, 84, 92, 124, and 137) of 32 residents reviewed. Specifically, the facility did not ensure that the physician or non-physician provider evaluated the resident's current medication regimen and renewed orders in the electronic medical record (EMR) at least every 60 days. The findings are: 1. Resident #20 had diagnoses that included dementia, schizophrenia (a chronic brain disorder affecting thinking, feeling and behavior) and developmental disorder. […]

  • No harm, potential for more than minimal, patternF584Aug 11, 2023

    Based on observation and interview conducted during the Standard survey completed on 8/11/23, the facility did not ensure housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior were provided for four (Units A, B, C and D) of four resident units. Specifically, there were issues with strong urine odors in resident rooms, bathrooms, hallways, and reception area; crumbling drywall around windows, unpainted, patched drywall, missing and/or in disrepair baseboards; peeling wallpaper, soiled walls, dusty ceiling vents, and a torn/ripped resident mattress. The findings are: During an observation on 8/7/23 at 9:05 AM, in the reception area upon entrance to the facility, there was a very strong urine odor. […]

  • No harm, potential for more than minimal, patternF804Aug 11, 2023

    Based on observation, interview, and record review conducted during a Standard survey completed 8/11/23, the facility did not provide food and drink that were prepared by methods that conserved flavor, and appearance, were palatable and at a safe and appetizing temperature, for five (Units A, B, C, D, & Kitchen) of five test trays. Specifically, food and beverages during meals were served at suboptimal temperatures, unappetizing in appearance and were not palatable. Residents #33, #37, #58, and #113 were involved. The findings are: The policy & procedure titled Food Temperature on Resident Trays dated 4/1/08 documented that it was the responsibility of the Supervisor, Dietitian, or Diet Technician to ensure that the food for residents was served at a safe and appropriate temperature. […]

  • No harm, potential for more than minimal, patternF812Aug 11, 2023

    Based on observation, interview, and record review conducted during a Standard survey completed [DATE], the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, one of one Kitchen had issues with outdated undated food items, corner ceiling fans near prep stations observed to be dusty and greasy and were in use while food preparation was going on and Dietary Aide #1 in food preparation area with facial hair, not wearing a beard guard. […]

Read 22 findings in full →The most serious and the most recent: 22 of 95 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 5, 2025Standard9 findings
  • Aug 11, 2023Standard9 findings
  • Jun 29, 2021Standard4 findings
  • Feb 5, 2020Complaint1 finding
  • Sep 13, 2019Standard and complaint6 findings
  • Aug 7, 2018Standard11 findings
  • Mar 23, 2017Standard7 findings
  • Jan 30, 2017Complaint1 finding
Show the 9 earlier surveys
  • Apr 26, 2016Standard11 findings
  • Feb 29, 2016Complaint1 finding
  • Jun 12, 2015Standard9 findings
  • Sep 30, 2014Standard6 findings
  • Jun 3, 2014Complaint1 finding
  • Sep 19, 2013—5 findings
  • Nov 9, 2012—7 findings
  • Dec 19, 2011—5 findings · 1 harm
  • Mar 14, 2011—2 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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