The Villages Of Orleans Health And Rehab Center - 1-Star Rehab Facility in Albion, NY | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 27.04%Falls causing major injury 5.26%Pressure ulcers (high-risk) 7.8%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (205 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
1/5
★☆☆☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 42 min · US avg: 41 min
Total Nurse / Resident / Day
3h 23m
State avg: 3h 39m · US avg: 3h 53m
1 min
State avg: 7 min · US avg: 4 min
75 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
73%above avg
US avg: 64%
Total Nurse Weekend
4h 50m
Federal Penalties
9 penalties · $640,008 total
| Date | Type | Fine | Denial Days |
|---|
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
| 1/12/2024 | Fine | $71,112 | - |
Inspection Citations
Survey: November 17, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: January 31, 2025(33 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
20.6 per 100
State avg: 20.6 · US avg: 23.9
17.5 per 100
State avg: 9.7 · US avg: 12.0
5.3 per 100
State avg: 3.0 · US avg: 3.3
7.8 per 100
State avg: 7.0 · US avg: 5.1
3.3 per 100
State avg: 1.2 · US avg: 1.6
80.6 per 100
State avg: 78.8 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
28/100
Incentive Payment
-1.52% penalty
Healthcare-Assoc. Infections
7.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
39.6 days
Avg Payment / Stay
$17,838.74
Patient Complexity
3.15 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: January 12, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
Survey: October 18, 2023(3 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: August 10, 2023(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
+ 1 more survey(s) not shown in snapshot
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