nursing home in Albion, NY
The Villages of Orleans Health and Rehabilitation
14012 Route 31, Albion, NY 14411 · (585) 589-5637
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Villages of Orleans Health and Rehabilitation at a glance
The Villages of Orleans Health and Rehabilitation is a 120-bed for-profit nursing home in Albion, New York (Orleans County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New York average of 3.
Residents receive about 3.6 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.6 hours.
Its most recent standard health inspection (January 31, 2025) found 12 health citations. The New York average is 8.
Federal regulators fined it 1 time in the past three years, totaling $71,112.
Nursing staff turnover is 63.7% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1967
- Resident/family council
- Both
- County
- Orleans County
- CMS Certification Number
- 335212
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.58 hrs | 3.63 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.15 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.36 hrs | 3.18 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 63.7% | 40.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 39.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 8 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 66.8 | 62.2 | 80.6 | Better |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $71,112 | $23,070 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 188 | 107 | |
| Average residents per day | 116 | 168 | 86 | |
| Occupancy | 96.4% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 3.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5% | 6.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 28% | 13.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 1.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.4% | 14.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 10.1% | 12.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.1% | 5.8% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 9.6% | 19.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.1% | 13.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28% | 19.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 91.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.6% | 78.8% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 60.9% | 77.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 39 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Past Non-Compliance |
| January 31, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected April 11, 2025 |
| January 31, 2025 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 31, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Complaint | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 31, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | C No harm, widespread | Corrected March 14, 2025 |
| January 31, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | B No harm, pattern | Corrected March 14, 2025 |
| January 12, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected February 9, 2024 |
| January 12, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected February 9, 2024 |
| October 18, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 16, 2023 |
| July 21, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Tag K0111 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected October 15, 2023 |
| July 21, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected September 8, 2023 |
| July 21, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | C No harm, widespread | Corrected September 8, 2023 |
| July 21, 2023 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 8, 2023 |
| July 21, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 8, 2023 |
| July 21, 2023 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected September 8, 2023 |
| July 21, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 8, 2023 |
| July 21, 2023 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected September 8, 2023 |
| October 25, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Tag K0111 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 24, 2021 |
| October 25, 2021 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected December 24, 2021 |
| October 25, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 24, 2021 |
| October 25, 2021 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 24, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $71,112 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 12, 2024 | Fine | $71,112 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FLUGEL, ERIC Individual | w-2 managing employee | NOT APPLICABLE | 11/01/2020 |
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Frequently asked questions
What is The Villages of Orleans Health and Rehabilitation's rating?
The Villages of Orleans Health and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did The Villages of Orleans Health and Rehabilitation receive?
Its most recent standard health inspection found 12 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does The Villages of Orleans Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Villages of Orleans Health and Rehabilitation?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Villages of Orleans Health and Rehabilitation and how do I contact it?
The Villages of Orleans Health and Rehabilitation is at 14012 Route 31, Albion, NY 14411. Phone: (585) 589-5637.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.