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D
Poor

THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER

14012 ROUTE 31 · ALBION, NY 14411

5855895637 · For profit - Limited Liability company

120 beds118.8 residents148 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER receives an overall staffing grade of D (Poor). With 3.3826 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.251 HPRD, below the recommended 0.75. It is 0.51 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.83% compared to weekdays. The facility relies heavily on temporary agency staff (16.68% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3826 HPRD — needs 0.10 more hours per resident per day.
⚠️RN staffing (0.251 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.68% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.3826hrs/resident/day▼ 0.51
CMS benchmark: 3.48
RN HPRD
0.251hrs/resident/day▼ 0.43
Recommended: 0.75
Weekend Drop-off
13.83%
3.5202 weekday → 3.0333 weekend
Agency Staff
16.68%
19.08% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.1513hrs/resident/day
Direct care aides
LPN HPRD
0.9803hrs/resident/day
Licensed practical nurses
Consistency
0.3643std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Orleans County Average-0.10 HPRD
3.48
03.38 HPRD
vs. New York State Average-0.27 HPRD
3.65
03.38 HPRD
vs. National Average-0.51 HPRD
3.90
03.38 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER ★
ALBION · This facility
—
D
3.38260.251★☆☆☆☆
MEDINA MEMORIAL HOSPITAL S N F
MEDINA
4.9 mi
B
4.01220.8206★★★★★
THE GRAND REHABILITATION AND NURSING AT BATAVIA
BATAVIA
16 mi
D
2.86860.4639★★☆☆☆
BROTHERS OF MERCY NURSING & REHABILITATION CENTER
CLARENCE
23.3 mi
C
4.14420.5007★★★★★
ELDERWOOD AT WILLIAMSVILLE
WILLIAMSVILLE
26.9 mi
C
3.39381.0252★★☆☆☆
GREENFIELD HEALTH & REHAB CENTER
LANCASTER
28.3 mi
B
4.76510.6733★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
26
Total Deficiencies
$71,112
Fines Assessed
Nov 17, 2025Health
1 deficiency cited
▼
Jan 31, 2025Health
11 deficiencies cited
▼
Jan 12, 2024Health
2 deficiencies cited· Includes actual harm
▼
Oct 18, 2023Health
1 deficiency cited
▼
Aug 10, 2023Health
2 deficiencies cited
▼
Jul 21, 2023Health
7 deficiencies cited
▼
Oct 25, 2021Health
2 deficiencies cited
▼

Penalty History

Jan 12, 2024Fine
$71,112
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.