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Nursing HomeMedicaid Investigative

Elderwood at Williamsville

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

200 Bassett Road, Williamsville, NY 14221200 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 39 Google reviews

5
4
3
2
1
Elderwood at Williamsville Nursing Home in Williamsville, NY — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (9 vs median 6.0)
  • High staff turnover (54%)

Below average in NY · Meets national RN staffing standard · Below chain average · $75,553 in fines

Source: Medicare data

What this means for your family

While the rehabilitation therapy team is frequently praised, the facility faces consistent, serious reports of neglect and poor responsiveness on evenings and weekends. Families should conduct an unannounced visit during off-hours and specifically ask how the facility ensures timely response to call buttons and hygiene needs.

Google Reviews

Google Reviews

39 reviews on Google
Elderwood at Williamsville receives highly polarized feedback, with a significant number of families reporting severe neglect, poor communication, and understaffing. While some reviewers praise the physical therapy team and occasional compassionate staff members, these positive experiences are frequently overshadowed by reports of residents being left in soiled conditions, unresponsive call buttons, and unprofessional management.

Quality Themes

Tap a score for details
Food3.0Staff2.0Clean2.0Activities7.0Meds1.0Memory2.0Comms1.0ValueN/A

Strengths

  • Skilled and dedicated physical therapy team
  • Occasional compassionate and attentive nursing staff
  • Well-maintained, park-like facility grounds

Concerns

  • Chronic understaffing leading to long response times for call buttons (mentioned by 8 reviewers)
  • Poor hygiene and neglect of basic resident needs (soiled linens, missed baths) (mentioned by 6 reviewers)
  • Unprofessional, dismissive, or rude management and staff (mentioned by 5 reviewers)
  • Lack of communication with families regarding medical status or personal belongings (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(5)'21(4)'23(15)'25(5)'26(4)

Distribution · 43 analyzed

5
11
4
4
3
0
2
2
1
26

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We noticed the facility grounds are quite beautiful and park-like; what kind of outdoor activities or strolls are available for residents?
  • 2With the physical therapy team being a highlight for many, how closely do the therapists work with the nursing staff to support a resident's daily mobility?
  • 3How do you ensure that call buttons are answered promptly, especially during shift changes or busy periods?
  • 4What specific protocols are in place to ensure consistent hygiene, such as regular linen changes and scheduled baths, for every resident?
  • 5How does the management team keep families updated on a loved one's medical status and any changes in their personal belongings?
  • 6Can you tell us more about the dining experience, specifically how meal quality and nutritional needs are managed daily?

Personalized based on this facility's data


Key Review Excerpts

The call button takes sometimes an hour or more to answer. Bathroom is dirty. Toilet paper holder is hanging off the wall.

Long-term resident's family · 2025☆☆☆☆

My dad, who has Alzheimers, has been left sitting in his urine and completely full diaper multiple times. His bath has been missed twice on allocated bath days.

Memory care family member · 2023☆☆☆☆

The nurses, nurses aides, physical therapist, social worker and even the girls who delivered her meals were beyond helpful and kind.

Rehab patient's family · 2023★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.12hrs
OK
Registered nurses for medical care
Total Nursing
3.67hrs
89%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
37%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
NY
18.9%
Erie
13.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.4%
NY
13.8%
Erie
16.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
NY
91.3%
Erie
89.6%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.6%
Worse than Avg
Here
11.6%
US
4.9%
NY
6.8%
Erie
6.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
NY
13.3%
Erie
18.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
95.5%
NY
95.3%
Erie
93.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.0%
Worse than Avg
Here
68.0%
US
79.7%
NY
78.8%
Erie
74.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.1%
Worse than Avg
Here
74.1%
US
81.8%
NY
77.0%
Erie
81.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
NY
1.2%
Erie
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Above state avg (7.6)
11 complaint-triggered
$75,553 in fines

Families have filed 9 complaints triggering inspections, with concerning reports of abuse/neglect issues and inadequate nursing staffing that persist across multiple surveys. The facility shows recurring problems in three main areas: fire safety systems, food service quality, and basic resident care including mobility assistance and bladder care. While all deficiencies show correction dates, the pattern of repeated complaints and similar issues across different time periods suggests ongoing quality concerns that families should investigate thoroughly during visits.

Jul 22, 2025Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

May 1, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jan 21, 2025Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Jan 21, 2025Routine
12
0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Apr 23, 2024Complaint
4
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 26, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Jan 21, 2025

$75,553

Ownership & Operations

Who Operates This Facility

Owner / Operator

Elderwood at Williamsville

Organization Type

for profit

Chain Affiliation

Chain Name

Elderwood

Chain Size

17 facilities nationwide

Chain avg rating: 2.6/5 · Rank 13 of 17

Ownership & Management

Owners

Cole, Warren

Owner

50%

Rubin, Jeffrey

Owner

50%

Key personnel

Dirlam, MarkW-2 Managing EmployeeCole, WarrenManagerRubin, JeffreyManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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