Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Salamanca Rehabilitation & Nursing Center during CMS and state inspections, most recent first.
Failure to timely report alleged resident-to-resident sexual abuse: a CNA observed two residents in a dark room in what appeared to be an inappropriate sexual situation, but the allegation was not escalated immediately to the supervisor, DON, or state agency within the required two-hour window. One resident had severe cognitive impairment and a history of alcohol abuse, while the other had dementia and was cognitively intact. The LPN did not ensure immediate reporting, the supervisor was not notified that evening, and the allegation was not brought to the DON until two days later.
A resident who was totally dependent for toileting and hygiene and always incontinent was left saturated with urine after repeatedly calling out for help. Staff did not respond promptly, and when care was finally provided, the resident’s clothing, chair cushion, and floor were wet. During peri-care, a CNA did not change gloves and then handled the resident’s oxygen tubing and personal items, creating a cross-contamination issue.
A resident with COPD, DM2, and bipolar disorder was found with an e-cigarette hidden in bed, despite being assessed only for cigarette smoking and having no care plan interventions or order for vaping. The resident said a family member bought the device and that they only used it when out on pass. Staff were unaware the device was in the room until it was observed, and the resident’s record did not address safe storage or vaping use.
Unsecured medications were found left on an over-the-bed table in a resident’s room on multiple observations, even though the resident was not approved to self-administer or keep meds at the bedside. The resident had HTN, CHF, and anxiety, and records showed no order allowing bedside storage for the simethicone, lidocaine, or nasal sprays. Staff said the meds had been there for weeks and should have been reported to the nurse, while the DON stated bedside medications should never have been left unless approved.
Failure to Verify Employee Registry Status Before Hire: The facility did not follow its written screening process to verify employee status through the NY State Nurse Aide Registry before hiring several staff members, including CNAs, a housekeeper, and an agency LPN. Registry checks were completed only after the employees had already worked in the facility for days or weeks, and the HR Director stated the reports were usually done before hire but was not sure why they were not completed for these employees.
Failure to Timely Report Alleged Resident-to-Resident Sexual Abuse
Penalty
Summary
The facility failed to ensure that alleged abuse was reported immediately, and no later than two hours after the allegation was made, to the administrator and the state survey agency for two residents involved in an alleged sexual abuse incident. The facility policy titled Abuse- Investigation, Protection and Reporting required all reports of alleged abuse to be reported immediately, but not later than two hours after the allegation. The investigation found that staff did not report the allegation in the required time frame after a CNA observed what appeared to be inappropriate sexual contact between two residents in a dark room. Resident #10 had diagnoses including Wernicke's encephalopathy, a history of alcohol abuse, and generalized anxiety, and was documented as severely cognitively impaired. Resident #120 had diagnoses including dementia, COPD, and heart failure, and was documented as cognitively intact and independent with mobility. The CNA reported seeing Resident #10 lying on the bed with pants down and Resident #120 lying near Resident #10's pelvic area, but when staff returned both residents were fully clothed and sitting upright on the bed. Resident #10 denied anything inappropriate occurred, and Resident #120 first made comments about inappropriate behavior but then changed the story and said nothing happened. The investigation documented that the CNA reported the allegation to an LPN, but the LPN did not respond in a way that led to immediate escalation, and the supervisor stated they were not notified of the allegation on the evening it occurred. The allegation was not made known to the DON until two days later, and the Administrator stated the allegation should have been reported immediately because the facility only had two hours to report it to the state. Progress notes and 24-hour nursing reports for both residents did not document the alleged abuse, and the 24-hour report was later updated to indicate the residents were not allowed in rooms alone and should use public space for visits.
Delayed Incontinence Care and Infection Control Lapse
Penalty
Summary
Resident #8, who had hemiplegia, multiple sclerosis, diabetes mellitus, osteomyelitis, severe cognitive impairment, and was non-ambulatory and totally dependent on staff for toileting and hygiene, was always incontinent of bowel and bladder. The resident’s care plan and Kardex directed staff to provide disposable briefs, change the resident as needed, and clean the peri area with each incontinence episode. The facility policy also required timely toileting assistance, prompt response to call lights, and hand hygiene before and after toilet assistance. During observation, Resident #8 repeatedly called out for incontinence care while seated in a geri chair near the nurse’s station, but staff did not respond for an extended period. When a CNA entered the room, the resident was saturated with urine and their clothes were visibly wet. On another observation, the resident again called out that they needed to be changed, and when two CNAs entered the room and mechanically lifted the resident into bed, the resident was saturated with urine, their clothing and chair cushion were visibly wet, and a puddle of urine was noted on the floor beneath the resident. During the care episode, staff completed incontinent care without changing gloves, and one CNA handled the resident’s oxygen tubing and personal items with the same gloves used during peri-care. The resident stated they were wet and did not feel clean, and said they did not use the call bell because it did not do any good and staff would ignore them. Staff interviews confirmed residents were to be checked and changed every two hours and as needed, and the DON stated staff were expected to address residents calling out right away and that gloves should have been changed to reduce cross contamination.
Unaddressed e-cigarette in resident room
Penalty
Summary
The facility did not ensure that all residents remained free from accident hazards and received adequate supervision to prevent accidents for one resident. Resident #19 had diagnoses of COPD, type 2 diabetes mellitus, and bipolar disorder, and the MDS documented that the resident was cognitively intact, independent with ADLs, used a walker and wheelchair, and had no behavioral issues. The resident’s care plan addressed smoking off the property on pass and keeping cigarettes and a lighter secured at the nurse’s station, but it did not include any interventions for an e-cigarette/vape device. The Kardex also did not address e-cigarette/vape use, and the smoking/safety assessment documented only cigarette use and safe use of a lighter, without addressing vaping or where smoking materials were to be stored. During observations, Resident #19 was found in bed with multiple items in the room, including bags on the floor, items on the tray table and bed, and later an e-cigarette was observed on the mattress next to the resident. The resident stated the device had been purchased by a family member around Thanksgiving and said they did not know it was not allowed in the room. The resident also stated they did not smoke in the facility and only used the device when out on pass. The assessment and care plan did not reflect the presence or use of the e-cigarette/vape device in the room. Staff interviews showed the device had not been identified as a hazard before the observation. An LPN supervisor stated they were unaware the resident had an e-cigarette and later retrieved and secured it, educated the resident, notified administration, and attempted to contact the health care proxy. Other staff stated they had not seen the resident use an e-cigarette in the room and would report it if observed. The DON and Administrator stated the resident knew they were not supposed to have the e-cigarette in the room and that smoking devices should be stored at the nursing station, but the resident’s record did not contain an order, care plan intervention, or interdisciplinary assessment for the e-cigarette/vape device.
Unsecured Medications Left at Resident Bedside
Penalty
Summary
Drugs and biologicals were not stored in locked compartments for one unit, 2 West, when medications for Resident #21 were found left unattended and unsecured on an over-the-bed table in the resident’s room. Resident #21 had diagnoses including hypertension, congestive heart failure, and anxiety disorder, and the MDS documented the resident was understood, understood others, and was cognitively intact. However, the care plan did not document that the resident could self-administer medications, and the Self-Administration of Medication form documented the resident was not approved to self-administer medications and may not keep medications at the bedside. Survey observations on multiple occasions showed the same medications on the over-the-bed table while the resident was not in the room or present with staff, including a half-filled bottle of Gas-X Total Relief simethicone/calcium carbonate, Mucinex Sinus-Max nasal spray, allergy-flo nasal spray, and a 4% lidocaine pain-relieving liquid. The medication review showed there was no physician order for the resident to self-administer or keep medications at the bedside, and the Assistant DON stated there was an order for simethicone but not to keep it at the bedside, with no order for lidocaine, Mucinex nasal spray, or allergy-flo nasal spray. Staff interviews showed the medications had been seen in the room for weeks, were not reported promptly, and the DON stated medications should never have been left at the bedside unless approved.
Failure to Verify Employee Registry Status Before Hire
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was cited because the facility did not follow its written screening process for employee verification through the New York State Nurse Aide Registry before hire. The facility policy titled "Registry For Nurse Aides" dated 01/17/2025 stated that nurse aide applicants must present a registration number and that the Human Resources Director or designee is responsible for contacting the State Nurse Aide Registry to confirm certification status upon hire. Record review and interviews showed that five employees were not reviewed through the New York State Nurse Aide Registry prior to employment: a CNA hired on 06/10/2025 whose registry verification was dated 08/19/2025 after 35 days of work; a Housekeeper hired on 06/24/2025 whose verification was dated 08/19/2025 after 37 days of work; a CNA hired on 09/15/2025 whose verification was dated 09/29/2025 after 4 days of work; an agency LPN hired on 08/15/2025 whose verification was dated 09/29/2025 after 9 days of work; and a CNA hired on 10/01/2024 whose verification was dated 01/16/2025 after 70 days of work. The Human Resources Director stated these were the only reports in the files and said the reports were usually completed prior to hire, but was not sure why they were not completed before these employees were hired.
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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 Salamanca
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Absolut Center For Nursing And Rehabilitation At A | 13.1 mi | ★★★★★ | 0 | 0 |
| Pavilion At Brmc, The | 14.1 mi | ★★★★★ | 8 | 0 |
| Bradford Ecumenical Home, Inc | 14.4 mi | ★★★★★ | 0 | 0 |
| The Pines Healthcare & Rehab Centers Olean Campus | 15.2 mi | ★★★★★ | 0 | 0 |
| Bradford Manor Nursing And Rehab | 15.2 mi | ★★★★★ | 0 | 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.