
Report
TheVardellReport
Williamsville Suburban, LLC
Skilled nursing facility and nursing facility
193 South Union Road
Williamsville, NY 14221

TheVardellReport
Skilled nursing facility and nursing facility
193 South Union Road
Williamsville, NY 14221
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 9 inspections from May 2021 to July 2026, state surveyors documented 37 findings at Williamsville Suburban, LLC; 37 have a recorded correction; CMS lists 2 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2021 | 1 | 3 | 0 |
| 2022 | 0 | 0 | 0 |
| 2023 | 1 | 9 | 0 |
| 2024 | 4 | 13 | 1 |
| 2025 | 2 | 11 | 0 |
| 2026 | 1 | 1 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
9 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
9 findings
The same visit included a complaint investigation.
Enforcement Action
Denial of payment imposed December 22, 2025. Status: Closed, May 1, 2026. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 28, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
9 findings
Enforcement Action
Civil money penalty, $43,973 imposed January 24, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 17, 2023, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F677 in March 2023, October 2024, May 2025 and December 2025. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F804 in May 2021, March 2023, December 2025 and July 2026. This citation covers whether food and drink are palatable, attractive and served at a safe temperature. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F584 in March 2023, May 2025 and December 2025. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F609 in May 2021 and October 2024. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F684 in January 2024 and December 2025. This citation covers whether residents receive the treatment their orders, preferences and goals call for. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F812 in March 2023 and December 2025. This citation covers how food is stored, prepared and served. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in October 2024 and December 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in four inspections, most seriously at level D.
May we try a meal, and how do you check food temperature by the time it reaches residents?
Food Quality and Temperature: cited in four inspections, most seriously at level F.
What was done about the cleanliness citation, and how are rooms and shared spaces checked now?
A Clean, Homelike Setting: cited in three inspections, most seriously at level E.
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in two inspections, most seriously at level D.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level D.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level F.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
Insufficient nursing staff was cited in October 2024.
What led to the 2025 denial of payment, and what would you want a family to know about it?
Denial of payment was imposed December 22, 2025; it ended May 1, 2026. The record holds two enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the New York state survey agency.
New York state survey agency
Inspection May 6, 2021 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Mar 17, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Jan 24, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Feb 9, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Jul 24, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Oct 28, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection May 7, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Dec 22, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
New York state survey agency
Inspection Jul 31, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 335647
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowMay 6, 2021 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.