Elderwood at Amherst
4459 Bailey Avenue, Amherst, NY 14226 · Erie County · 92 certified beds · avg 81 residents/day · certified since Jan 9, 1967
Abuse citation flag (CMS)
Part of chain: ELDERWOOD (17 facilities, chain avg rating 2.5★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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, one-off · Dec 15, 2023 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 1, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 4, 2025 | 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 |
| Apr 18, 2025 | 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. |
| Apr 18, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 18, 2025 | 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Dec 15, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Dec 15, 2023 | E · Potential for harm, 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. |
| Dec 15, 2023 | 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 |
| May 3, 2022 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 3, 2022 | D · Potential for harm, one-off | 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. |
| May 3, 2022 | 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. |
| May 3, 2022 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2023 | 3 | 1 | J ▲ |
| 2025 | 5 | 0 | D |
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 $25,262.
| Date | Type | Amount / length |
|---|---|---|
| Dec 15, 2023 | Fine | $25,262 |
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) | 4.08 | 3.58 | 3.95 | top 22% in New York; top 36% in the U.S. |
| Registered Nurse hours | 0.77 | 0.68 | 0.69 | top 24% in New York; top 30% in the U.S. |
| Weekend total nurse staffing | 3.48 | 3.13 | 3.50 | top 25% in New York; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.48 | 0.48 | top 41% in New York; top 48% in the U.S. |
| Total nursing staff turnover (%) | 57.4 | 40.3 | 45.8 | bottom 13% in New York; bottom 20% in the U.S. |
| RN turnover (%) | 53.8 | 39.8 | 42.9 | bottom 21% in New York; bottom 30% 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 3.80, RN 0.72, weekend 3.24. 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: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cole, Warren | Individual | 5% or Greater Direct Ownership Interest | 50% | 10/14/2011 |
| Rubin, Jeffrey | Individual | 5% or Greater Direct Ownership Interest | 50% | 10/14/2011 |
| Cole, Warren | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2011 |
| Harris, Ann | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/07/2021 |
| Rubin, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "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 |
|---|---|---|---|---|---|
| Safire Rehabilitation of Northtowns, L L C | 0.9 mi | Tonawanda, NY | ★☆☆☆☆ | 1/5 | |
| Beechwood Health Care Center, INC. | 3.1 mi | Getzville, NY | ★★★★★ | 5/5 | |
| Comprehensive Rehabilitation and Nursing Center at | 3.3 mi | Williamsville, NY | ★☆☆☆☆ | 1/5 | |
| Williamsville Suburban, L L C | 3.3 mi | Williamsville, NY | ★☆☆☆☆ | 1/5 | |
| Schofield Residence | 3.4 mi | Kenmore, NY | ★★★★☆ | 4/5 | |
| Terrace View Long Term Care Facility | 3.5 mi | Buffalo, NY | ★★★☆☆ | 2/5 | abuse |
| McAuley Residence | 3.6 mi | Kenmore, NY | ★★★★★ | 5/5 | |
| St Catherine Laboure Health Care Center | 3.7 mi | Buffalo, NY | ★★★★★ | 5/5 | |
| Humboldt House Rehabilitation and Nursing Center | 4.2 mi | Buffalo, NY | ★★☆☆☆ | 1/5 | abuseSFF |
| Degraff Memorial Hospital-Skilled Nursing Facility | 4.2 mi | North Tonawanda, NY | ★★★☆☆ | 3/5 | |
| Elderwood at Williamsville | 4.4 mi | Williamsville, NY | ★★☆☆☆ | 2/5 | |
| Canterbury Woods | 4.9 mi | Williamsville, NY | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335056.