Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Absolut Center For Nursing And Rehabilitation At A during CMS and state inspections, most recent first.
The facility failed to adhere to professional standards for food service safety, with surveyors finding undated, unlabeled, and expired food items in five Nourishment Room refrigerators. Staff interviews revealed lapses in following facility policies for food labeling and storage, with personal staff food improperly stored with residents' food. The facility's policy required potentially hazardous foods to be labeled and dated, which was not consistently followed.
A resident, who regularly attended Resident Council Meetings, was unable to attend a scheduled meeting due to staff miscommunication and lack of assistance. Despite expressing their intention to attend, the resident's call bell went unanswered for over an hour, resulting in them missing the meeting. The facility acknowledged the failure to support the resident's right to participate in community activities.
Two residents, both lacking capacity to consent due to cognitive impairments, were found undressed and in bed together, leading to a deficiency in protecting residents from sexual abuse. Despite the incident being reported to the state, staff responses were inconsistent, with some failing to recognize the situation as abuse. The facility's inadequate prevention and response measures highlight a significant deficiency.
A resident with cognitive intactness and incontinence issues received care that breached infection control protocols. Certified Nurse Aide #4 improperly placed soiled washcloths and briefs on the floor and bed surfaces, contrary to facility policy requiring the use of soiled barriers. Interviews revealed a misunderstanding of proper procedures, with the Director of Nursing emphasizing the need for adherence to infection control guidelines.
Two residents in the facility did not receive pneumococcal and influenza vaccinations despite consent from their responsible parties. One resident, admitted with pneumonia and dementia, did not receive the influenza vaccine, and there was no evidence of being offered the pneumococcal vaccine. Another resident, with adult failure to thrive, did not receive the pneumococcal vaccine despite consent. Staff interviews revealed a lack of clarity and follow-through in the vaccination process, leading to these deficiencies.
Improper Food Storage and Labeling in Facility Nourishment Rooms
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, as observed during a standard survey. In five different Nourishment Room refrigerators, surveyors found undated, unlabeled, and expired food and drink items. Additionally, a staff member's personal food was improperly stored with residents' food. The facility's policy required potentially hazardous foods to be labeled and dated, with specific discard timelines, which were not adhered to. In the [NAME] 3 Nourishment Room, various opened food items, including thickened beverages and individual drink bottles, were found without labels or dates, contrary to manufacturer instructions and facility policy. Similar issues were observed in the [NAME] 2 Nourishment Room, where opened beverages lacked dates, and expired oats were present. In the Willink A Nourishment Room, food items were labeled with residents' names but not dated, and some items belonged to a resident no longer at the facility. The Willink Legacy Cove Nourishment Room contained a staff member's personal lunch, which was not supposed to be stored there, and other items lacked proper labeling. Interviews with staff revealed a lack of adherence to the facility's policies regarding food labeling and storage. Dietary staff were responsible for daily checks of the refrigerators, but there were lapses, particularly during a short-staffed weekend. Nursing staff were responsible for labeling food brought in by residents' families, but this was not consistently done. The Food Service Director acknowledged these issues and noted that staff food should be stored in the Breakroom, not in the Nourishment Rooms.
Failure to Accommodate Resident's Right to Attend Council Meeting
Penalty
Summary
The facility failed to ensure that a resident's right to participate in community activities was honored, specifically regarding attendance at a Resident Council Meeting. The resident, who was cognitively intact and had a history of attending these meetings regularly, was unable to attend the meeting on 12/17/24 due to a lack of assistance from staff. The resident had expressed their intention to attend the meeting to the Director of Activities, but due to a miscommunication and assumption that the resident did not want to attend, the necessary arrangements were not made. On the day of the meeting, the resident activated their call bell for over an hour without receiving assistance, resulting in them missing the meeting. Interviews with staff revealed that there was a breakdown in communication between the Director of Activities and the nursing staff, which led to the resident's needs not being prioritized. The Director of Nursing and the Administrator acknowledged that the resident's right to attend the meeting should have been accommodated, indicating a failure in the facility's processes to support resident choice and self-determination.
Failure to Protect Residents from Sexual Abuse
Penalty
Summary
The facility failed to protect residents from sexual abuse, as evidenced by an incident involving two residents who were found undressed and in bed together. Both residents were documented as lacking the capacity to consent due to cognitive impairments. Resident #165, diagnosed with Alzheimer's disease and dementia, was severely cognitively impaired and exhibited wandering and promiscuous behaviors. Resident #151, diagnosed with dementia and Parkinson's disease, was moderately cognitively impaired and had decision-making difficulties. Both residents were unable to give consent, as documented in their respective care plans and capacity determinations. The incident occurred when an LPN found the two residents unclothed in Resident #151's room. Resident #151 admitted that Resident #165 performed oral sex on them, although they claimed no intercourse occurred. The facility's investigation confirmed that both residents were unable to consent to sexual activities, and the incident was reported to the New York State Department of Health. Despite this, there was a lack of immediate action and urgency from the staff, as evidenced by delayed assessments and conflicting statements regarding the nature of the incident. Interviews with various staff members revealed inconsistencies in their understanding of consent and abuse. Some staff members, including the Director of Nursing, did not initially consider the incident as abuse due to the absence of witnessed harm. However, others, including the Medical Director and Psychiatric Nurse Practitioner, recognized the inability of the residents to consent, thus classifying the incident as abuse. The facility's failure to prevent the incident and the subsequent inadequate response highlight a deficiency in protecting residents from abuse.
Infection Control Breach During Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper handling of soiled linens and incontinence briefs during care for a resident. During a morning care observation, Certified Nurse Aide #4 placed washcloths used for cleansing the resident's face and body on the bed's headboard and footboard, away from the designated soiled barrier. Additionally, the aide placed a urine-soiled brief directly on the floor, further contaminating the environment. These actions were contrary to the facility's policy, which required soiled items to be placed on a soiled barrier to prevent contamination. The resident involved was admitted with diagnoses including depression, anxiety, and paranoid schizophrenia, and was cognitively intact. The resident required maximal assistance for personal hygiene due to a self-care performance deficit related to Parkinson's Disease and was incontinent of bowel and bladder. The care plan specified that incontinent care should be provided every 2-3 hours with the assistance of two staff members. Despite these guidelines, the improper handling of soiled items during care was observed, indicating a lapse in following established procedures. Interviews with staff revealed a lack of adherence to infection control protocols. Certified Nurse Aide #4 believed placing soiled items on the floor was appropriate to avoid contaminating the bed, while Certified Nurse Aide #5 and the Registered Nurse Unit Manager recognized this as an infection control risk. The Assistant Director of Nursing Infection Preventionist acknowledged the need for re-education on using dirty barriers and proper hand hygiene. The Director of Nursing emphasized the expectation for all staff to follow infection control guidelines, highlighting the responsibility of the nursing staff to ensure compliance.
Failure to Administer and Document Vaccinations
Penalty
Summary
The facility failed to ensure that all residents were offered and educated about pneumococcal and influenza vaccinations, as evidenced by the cases of two residents. Resident #171, who was admitted with pneumonia, necrotizing encephalopathy, and dementia, did not receive the influenza vaccine despite consent from their responsible party. Additionally, there was no evidence that Resident #171 was offered or educated about the pneumococcal vaccination. The nursing progress notes and electronic medical records lacked documentation of consent or declination forms for the pneumococcal vaccine, and the influenza vaccine was not administered despite consent being documented. Resident #10, admitted with adult failure to thrive, depression, and anxiety, also did not receive the pneumococcal vaccine despite consent from their responsible party. The nursing progress notes and medication administration records did not show evidence of the pneumococcal vaccine being ordered, refused, or given. Although the vaccine was ordered for a specific time frame, it was not signed as given or refused, and the immunization report incorrectly documented it as refused. Interviews with staff revealed a lack of clarity and follow-through in the vaccination process. Hospice Doctor #1 and the Medical Director confirmed that Resident #171 was eligible for the influenza vaccine, and the responsible party had consented. However, the vaccine was not administered. Similarly, for Resident #10, there was a delay in ordering and administering the pneumococcal vaccine, despite consent being obtained. The Director of Nursing and other staff acknowledged the expectation that vaccinations should be offered and administered with proper documentation, but this was not consistently executed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near East Aurora
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fox Run At Orchard Park | 6 mi | ★★★★★ | 0 | 0 |
| Father Baker Manor | 6.9 mi | ★★★★★ | 1 | 1 |
| Greenfield Health & Rehab Center | 8.8 mi | ★★★★★ | 1 | 0 |
| Elderwood At Lancaster | 9.1 mi | ★★★★★ | 2 | 0 |
| Seneca Health Care Center | 9.5 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.