Nursing HomeInspections

The Villages of Orleans Health and Rehabilitation

Nursing home in Albion, NY

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
14012 Route 31, Albion, NY 14411
Phone
(585) 589-5637
Listed under
For-profit
Medicare CCN
335212
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
116
Ownership
For-profit, limited Liability company
Legal business name
Comprehensive at Orleans
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 335212. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 31, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 25, 2021 to Aug 21, 2026): 9 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 21, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Nov 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 31, 2025Post nurse staffing information every day.
Nursing and Physician Services		B
Potential for minimal harm, pattern
Jan 31, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jan 31, 2025Honor 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…
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 31, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jan 31, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jan 31, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 31, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 31, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jan 31, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $71,112 in the last three years.

Jan 12, 2024Fine: $71,112

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.59 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
2.34 hours
Total nurse staffing on weekends
3.42 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
56%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error