Comprehensive Rehabilitation and Nursing Center at

Name: Comprehensive Rehabilitation and Nursing Center at
Address: 147 REIST STREET, Williamsville, NY, 14221, US
Telephone: 7166335400

147 Reist Street, Williamsville, NY 14221 · Erie County · 142 certified beds · avg 135 residents/day · certified since Jan 1, 1967

Part of chain: EPHRAM LAHASKY (22 facilities, chain avg rating 1.8★)

1/5

Health inspection rating (on-site)

Serious findings on record

$37,138

Fines, last 3 years

3.63

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Jun 21, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (45)

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
Feb 5, 2026	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jan 8, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint
Jan 8, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Sep 15, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Sep 15, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Sep 11, 2025	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint
Dec 6, 2024	F · Potential for harm, facility-wide	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Dec 6, 2024	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 6, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 6, 2024	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.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 6, 2024	D · Potential for harm, one-off	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 6, 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 6, 2024	C · Minimal risk, facility-wide	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 6, 2024	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 6, 2024	B · Minimal risk, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jun 21, 2024	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 14, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 21, 2023	E · Potential for harm, repeated	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.
Apr 21, 2023	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.
Apr 21, 2023	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Apr 21, 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.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 21, 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.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Apr 21, 2023	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.
Apr 21, 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.
Apr 21, 2023	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 27, 2021	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 27, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 27, 2021	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.
Aug 27, 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 27, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 27, 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 27, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Aug 27, 2021	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.
Aug 27, 2021	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (15 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2021	10	0	E
2023	16	0	E
2024	13	1	K ▲
2025	3	0	D
2026	3	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)

1 fine totaling $37,138.

Date	Type	Amount / length
Jun 21, 2024	Fine	$37,138

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)	3.63	3.58	3.95	top 39% in New York; bottom 43% in the U.S.
Registered Nurse hours	0.32	0.68	0.69	bottom 6% in New York; bottom 12% in the U.S.
Weekend total nurse staffing	3.23	3.13	3.50	top 37% in New York; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.48	0.48	bottom 13% in New York; bottom 11% in the U.S.
Total nursing staff turnover (%)	72.7	40.3	45.8	bottom 2% in New York; bottom 4% in the U.S.
RN turnover (%)	95.2	39.8	42.9	bottom 1% in New York; bottom 1% 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 3.02, RN 0.27, weekend 2.69. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Arem, Jeffrey	Individual	5% or Greater Direct Ownership Interest	5%	03/10/2019
Gast, David	Individual	5% or Greater Direct Ownership Interest	25%	05/05/2015
Halper, Sam	Individual	5% or Greater Direct Ownership Interest	14%	05/05/2015
Korngut, Debbie	Individual	5% or Greater Direct Ownership Interest	12%	03/10/2019
Cibc Bank USA	Organization	5% or Greater Security Interest	NOT APPLICABLE	05/05/2015
Shaffer, Craig	Individual	W-2 Managing Employee	NOT APPLICABLE	03/21/2022
Teitelbaum, Jason	Individual	W-2 Managing Employee	NOT APPLICABLE	02/11/2019

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"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
Williamsville Suburban, L L C	0.7 mi	Williamsville, NY	★☆☆☆☆	1/5
Elderwood at Williamsville	2.4 mi	Williamsville, NY	★★☆☆☆	2/5
Canterbury Woods	2.6 mi	Williamsville, NY	★★★☆☆	4/5
Beechwood Health Care Center, INC.	3.3 mi	Getzville, NY	★★★★★	5/5
Elderwood at Amherst	3.3 mi	Amherst, NY	★★☆☆☆	2/5	abuse
Harris Hill Nursing Facility, L L C	3.3 mi	Williamsville, NY	★★★★★	4/5
Safire Rehabilitation of Northtowns, L L C	4.1 mi	Tonawanda, NY	★☆☆☆☆	1/5
Terrace View Long Term Care Facility	4.8 mi	Buffalo, NY	★★★☆☆	2/5	abuse
Elderwood at Cheektowaga	5.2 mi	Cheektowaga, NY	★☆☆☆☆	1/5
St Catherine Laboure Health Care Center	5.5 mi	Buffalo, NY	★★★★★	5/5
Humboldt House Rehabilitation and Nursing Center	5.8 mi	Buffalo, NY	★★☆☆☆	1/5	abuseSFF
Elderwood at Lancaster	6.0 mi	Lancaster, NY	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Williamsville →

Facility data as of CMS processing date 2026-08-01. CCN 335172.

The Care File

Visit checklist — Comprehensive Rehabilitation and Nursing Center at

147 Reist Street, Williamsville, NY 14221 · 7166335400

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $37,138

Most serious findings on record:

▲ Jun 21, 2024 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335172 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)