The Villages of Orleans Health and Rehabilitation

Nursing Home · Albion, NY

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number335212

Contact & location

14012 Route 31
Albion, NY 14411
Orleans County
Phone
(585) 589-5637
ZIP code
14411 – all care providers

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Facility details

Certified beds
120
Residents per day
115.7 (96% occupied)
Ownership
For profit - Limited Liability company
Legal name
Comprehensive at Orleans
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 2.8
Quality measures★★★★★ 3/5
State avg 3.9
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.58 (state 3.62 · U.S. 3.86)
Registered nurses (RN)
0.28 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.94 (state 0.76 · U.S. 0.86)
Nurse aides
2.36 (state 2.15 · U.S. 2.32)
Weekend total
3.36 (state 3.18 · U.S. 3.42)
Nursing staff turnover
63.7 (state 40.3 · U.S. 45.8)%
RN turnover
58.3 (state 39.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 31, 2025
Health deficiencies (last cycle)
12.0 (state 8.0 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
26 health · 39 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-01-31 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 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.
F0578 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-31 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-03-14
2025-01-31 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-03-14
2024-01-12 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-02-09
2024-01-12 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.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-09
2023-10-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-08-10 Have a Compliance and Ethics Program.
F0895 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15
2023-08-10 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.
F0578 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15
2023-07-21 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.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2023-07-21 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-08
2021-10-25 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-24
2021-10-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $71,112 in fines.

DateTypeAmount
2024-01-12Fine$71,112

Ownership & management

NameRoleSince
Flugel, Eric (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of The Villages of Orleans Health and Rehabilitation?

The Villages of Orleans Health and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in New York.

How many beds does The Villages of Orleans Health and Rehabilitation have?

It has 120 certified beds and cares for about 116 residents per day.

Has The Villages of Orleans Health and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $71,112 in the last three years.

What is the phone number of The Villages of Orleans Health and Rehabilitation?

(585) 589-5637. The facility is located at 14012 Route 31, Albion, NY 14411.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.