THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER
Open-data reference.
THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER is a for profit - limited liability company facility in ALBION, NY with 120 certified beds and a 1-star overall CMS rating. The facility has 26 deficiency records on file. Total penalties: $71K.
14012 ROUTE 31, ALBION, NY 14411
Phone: 5855895637
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 335212
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 119
- In Hospital
- No
- County
- Orleans
- Last Inspection
- Jan 31, 2025
Staffing Data
- RN Hours
- 0.25 (nat'l avg: 0.68)
- LPN Hours
- 0.98
- CNA Hours
- 2.15
- Total Nursing Hours
- 3.38 (nat'l avg: 3.89)
- PT Hours
- 0.02
- Nursing Turnover
- 75.3%
- RN Turnover
- 80.0%
What the CMS Record Reveals About THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER
THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER operates 120 certified beds in ALBION, NY with approximately 119 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 26 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $71K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.38 total nursing hours per resident day (national average 3.89), with RN coverage at 0.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 75.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (26 most recent)
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
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
Corrected: Mar 14, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 14, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Mar 14, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 14, 2025
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
Corrected: Mar 14, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 14, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 14, 2025
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 14, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 14, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 14, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Mar 14, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Feb 9, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Category: Resident Rights Deficiencies
Corrected: Feb 9, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 16, 2023
Have a Compliance and Ethics Program.
Category: Administration Deficiencies
Corrected: Sep 15, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Sep 15, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 8, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 8, 2023
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
Corrected: Sep 8, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 8, 2023
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
Corrected: Sep 8, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 8, 2023
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
Corrected: Sep 8, 2023
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
Corrected: Dec 24, 2021
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Dec 24, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.4% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.0% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 96.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 55.7% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 80.6% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.3% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.0% | Yes |
Penalty History 1 penalties totaling $71K
| Date | Type | Amount |
|---|---|---|
| Jan 12, 2024 | Fine | $71K |
Nearby Nursing Homes in NY
A Holly Patterson Extended Care Facility
UNIONDALE, NY
Aaron Manor Rehabilitation and Nursing Center
Fairport, NY
Absolut Center for Nursing and Rehabilitation at T
Painted Post, NY
ABSOLUT CTR FOR NURSING & REHAB ALLEGANY L L C
ALLEGANY, NY
ABSOLUT CTR FOR NURSING & REHAB AURORA PARK L L C
EAST AURORA, NY
ABSOLUT CTR FOR NURSING & REHAB ENDICOTT L L C
ENDICOTT, NY
Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in ALBION, NY on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for ALBION, NY on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near ALBION, NY on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Orleans on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER?
What are the staffing levels at THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER?
How many beds does THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER have?
Does THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER have any deficiencies on record?
Has THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER received any fines or penalties?
Who owns THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER?
When was THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER last inspected?
What quality measures are tracked for THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.