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The Villages of Orleans Health and Rehabilitation

14012 ROUTE 31
ALBION, NY 14411 · 5855895637 · Orleans County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds120
OwnershipFor profit - Limited Liability company
State rank#546

By the numbers

26
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$71,112
Federal fines (CMPs)
The trend: Citations are rising — 12 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

Nov 17, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 31, 2025 · Health survey · F-tag 0732
B — Cited
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jan 31, 2025 · Health survey · F-tag 0730
C — Cited
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Jan 31, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 31, 2025 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 31, 2025 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Jan 31, 2025 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jan 31, 2025 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 31, 2025 · Health survey · F-tag 0604
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Jan 31, 2025 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
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.
Jan 31, 2025 · Health survey · F-tag 0689
E — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 31, 2025 · Health survey · F-tag 0584
E — No actual harm
Resident Rights Deficiencies
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.
Jan 12, 2024 · Health survey · F-tag 0622
D — No actual harm
Resident Rights Deficiencies
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.
Jan 12, 2024 · Health survey · F-tag 0760
J — Immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected Feb 9, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Oct 18, 2023 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 10, 2023 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
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.
Aug 10, 2023 · Health survey · F-tag 0895
F — No actual harm
Administration Deficiencies
Have a Compliance and Ethics Program.
Jul 21, 2023 · Health survey · F-tag 0803
D — No actual harm
Nutrition and Dietary Deficiencies
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.
Jul 21, 2023 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 21, 2023 · Health survey · F-tag 0661
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in New York →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.