F

THE VILLAGES OF ORLEANS HEALTH AND REHAB CENTER

14012 ROUTE 31, ALBION, NY 14411
Score: 12 / 100

With a score of 12/100, The Villages Of Orleans Health And Rehab Center ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 3.38 total nurse hours per resident per day, The Villages Of Orleans Health And Rehab Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 26 deficiencies at The Villages Of Orleans Health And Rehab Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.38 3.8 Below Average
Registered Nurses (RN) 0.25 0.7 Below Average
Licensed Practical Nurses (LPN) 0.98 0.7 Above Average
Certified Nursing Assistants (CNA) 2.15 2.4 Below Average
Weekend Total Nursing 3.03 3.8 Below Average
Weekend RN Hours 0.20 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Nov 16, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 23 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jan 30, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Jan 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.8% 4.5% Worse
Falls with major injury 5.3% 3.0% Worse
On antipsychotic medication 27.0% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 14.4% 14.0% Average
Excessive weight loss 7.0% 7.5% Average
New/worsened incontinence 25.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $71,112

How This Grade Was Calculated

This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -7 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 30, 2025
Deficiencies (Cycle 1)
12