Absolut Center for Nursing and Rehabilitation at a
292 Main Street, East Aurora, NY 14052 · Erie County · 320 certified beds · avg 203 residents/day · certified since Mar 13, 1969
Part of chain: ABSOLUT CARE (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 20, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 28, 2023 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 28, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 28, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 28, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 28, 2023 | C · Minimal risk, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Aug 11, 2021 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 11, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 11, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 11, 2021 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2023 | 5 | 0 | E |
| 2024 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.97 | 3.58 | 3.95 | top 26% in New York; top 41% in the U.S. |
| Registered Nurse hours | 0.33 | 0.68 | 0.69 | bottom 6% in New York; bottom 13% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.13 | 3.50 | top 32% in New York; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.48 | 0.48 | bottom 17% in New York; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 42.2 | 40.3 | 45.8 | bottom 43% in New York; top 42% in the U.S. |
| RN turnover (%) | 14.3 | 39.8 | 42.9 | top 4% in New York; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.28, weekend 2.80. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Absolut Facilities Management, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/07/2007 |
| Sherman, Israel | Individual | 5% or Greater Direct Ownership Interest | 45% | 06/07/2007 |
| Sherman, Israel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/07/2007 |
| Sherman, Samuel | Individual | Direct Ownership Interest | NOT APPLICABLE | 06/07/2007 |
| Bonadio & Co LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Favorite Healthcare Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Flanagan, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gahr, Kaitlyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2023 |
| Gahr, Kaitlyn | Individual | ADP of the SNF | NOT APPLICABLE | 09/05/2023 |
| Green, Justin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Green, Justin | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Highgate Medical Group PC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2022 |
| Highgate Medical Group PC | Organization | ADP of the SNF | NOT APPLICABLE | 11/20/2025 |
| Kwarta, Daire | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Moscato, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Phan, Tom | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/21/2021 |
| Phan, Tom | Individual | ADP of the SNF | NOT APPLICABLE | 11/21/2021 |
| Rca Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Rosso, Ralph | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/14/2023 |
| Rosso, Ralph | Individual | ADP of the SNF | NOT APPLICABLE | 08/14/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fox Run at Orchard Park | 6.0 mi | Orchard Park, NY | ★★★★★ | 5/5 | |
| Father Baker Manor | 6.9 mi | Orchard Park, NY | ★★★★★ | 5/5 | |
| Greenfield Health & Rehab Center | 8.8 mi | Lancaster, NY | ★★★★☆ | 4/5 | |
| Elderwood at Lancaster | 9.1 mi | Lancaster, NY | ★★★☆☆ | 2/5 | |
| Seneca Health Care Center | 9.5 mi | West Seneca, NY | ★★★☆☆ | 3/5 | |
| Garden Gate Health Care Facility | 9.9 mi | Cheektowaga, NY | ★★☆☆☆ | 2/5 | |
| Elderwood at Cheektowaga | 10.4 mi | Cheektowaga, NY | ★☆☆☆☆ | 1/5 | |
| Safire Rehabilitation of Southtowns, L L C | 10.5 mi | Buffalo, NY | ★★☆☆☆ | 2/5 | |
| Elderwood at Hamburg | 10.7 mi | Hamburg, NY | ★★★☆☆ | 3/5 | |
| Mercy Hospital Skilled Nursing Facility | 10.8 mi | Lackawanna, NY | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335281.