The Villages of Orleans Health and Rehabilitation

CCN 335212 · COMPREHENSIVE AT ORLEANS · For profit - Limited Liability company · 120 certified beds · Orleans · NY


The Villages of Orleans Health and Rehabilitation is a 120-bed nursing home in ALBION, New York. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 115.7 residents a day.

What harm was found in the violations cited at The Villages of Orleans Health and Rehabilitation?

CMS lists 26 health-inspection deficiencies for The Villages of Orleans Health and Rehabilitation since 2021-10-25, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-11-17.

Survey dateTagDeficiencySeverity
2025-11-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-31F0584, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-01-31F0578, F0604, F0609, F0610, F0761, F0812, F0880Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2025-01-31F0730Observe each nurse aide's job performance and give regular training.C
2025-01-31F0732Post nurse staffing information every day.B
2024-01-12F0760Ensure that residents are free from significant medication errors.J
2024-01-12F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D
2023-10-18F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-08-10F0895Have a Compliance and Ethics Program.F
2023-08-10F0578Honor 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.D
2023-07-21F0801, F0804, F0812Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-07-21F0609, F0661, F0689, F0803Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D
2021-10-25F0578, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D

Why was The Villages of Orleans Health and Rehabilitation fined?

DateTypeAmount
2024-01-12Fine$71,112

How is The Villages of Orleans Health and Rehabilitation staffed relative to the NY average?

MeasureThis facilityNY average
Total nurse staffing hours per resident per day3.577613.62468
Total nursing staff turnover (%)63.740.3
Average number of residents per day115.7168.0

Who owns The Villages of Orleans Health and Rehabilitation?

The Villages of Orleans Health and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name COMPREHENSIVE AT ORLEANS.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEFLUGEL, ERICsince 11/01/2020

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