Batavia Rehabilitation and Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 63 beds and averages 39.2 residents a day — about 62% occupied, or roughly 24 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.96 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.74 hrs/resident/day on weekends vs 3.05 on weekdays — 10% thinner on weekends. RN hours go from 0.68 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2025-12-08 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect a resident's right to be free from physical abuse by an employee. This applies to 1 of 3 (R1) residents reviewed for physical abuse. This past noncompliance occurred from 8/24/2025 to 9/10/2025. Findings include: R1's EMR (Electronic Medical Record/EMR) showed she was admitted to the facility on [DATE] with multiple diagnoses, including dementia with mood disturbances of restlessness and agitation. R1's Abuse Risk assessment dated [DATE] said she was at risk for abuse due to her mental, emotional, physical, and behavioral changes related to her dementia. R1's care plan said she required staff to give her time and redirection to minimize her behaviors. R1's MDS (Minimum Data Set) dated 11/12/2025 said she was severely cognitively impaired. On 12/08/2025 at 9:15 AM, R1 was calmly sitting in the common area. R1 was severely cognitively impaired and unable to be interviewed regarding her reported abuse incident on 8/24/2025. At 10 AM, V8 (Certified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · F2025-06-05 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide 8 hours of RN (Registered Nurse) coverage on 20 days during the past 6 months. This applies to all 37 residents who reside in the facility. The findings include: The PBJ (Payroll Based Journal) report for quarter 4 2024, showed dates in December when there was no RN on duty. V2 (Director of Nursing) provided documentation to show she was the RN on some of those December dates. Review of the staffing schedule with V2 showed that December 7, 8, 22, 25, and 29, 2024 did not have any hours of RN coverage working in the facility. V2 stated on June 3, 2025, at 11:12 AM, that the facility does use agency staff. V2 stated she had to work out a system with payroll to report V2 hours as RN coverage for PBJ. V2 stated she works Monday through Friday and provides the RN coverage on those days. Review of January, February, March, April, and May 2025, staffing schedules with V2, showed there was no RN coverage for 8 hours, and V2 did not work on the following days: January 1, 4, 5, 18 and 19, 2025, February 13, 2025, March 1,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-06-05 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to develop and present a facility QAPI (Quality assurance Performance Improvement) plan. This applies to all 37 residents residing in the facility. The findings include: Long Term Care Facility Application for Medicare and Medicaid, dated June 2, 2025, shows the facility census was 37. On June 3, 2025, V1 (Administrator) provided a document QAPI Policy, dated January 2024, and stated the document was the facility's QAPI plan. The document shows, The QAPI Program takes a systematic, comprehensive, and data-driven approach to maintaining and improving safety and quality while involving all caregivers in practical and creative problem solving. The community QAPI Program achieves the following: monitor quality/performance, find opportunities for improvement, improve performance, achieve resident/family desired outcomes, meet regulatory requirements, understand the CMS (Centers for Medicare & Medicaid Services) survey process and regulations, provide a QAPI path to correcting issues. The QAPI Program consists of monthly/quarterly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-05 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have a water management plan for Legionella which included ways to intervene when control limits are not met and to document control measures for the prevention of Legionella growth. The facility also failed to follow their Infection Prevention and Control Program for surveillance of infections. This applies to all 37 residents residing in the facility. The findings include: The facility's Long-term Care Application for Medicare and Medicaid dated June 2, 2025, showed the facility's census was 37 residents. 1. On June 4, 2025, at 2:19 PM, V10 (Maintenance Director) said for the facility's water management plan for Legionella, V10 empties the hot water heaters about once a month but does not empty the kitchen's hot water heater because there is a water softener. V10 said the only thing he does with the shower heads is replace them when they break which is about three times a year. On June 4, 2025, at 2:26 PM, V1 (Administrator) said V10 should be following the facility's water management plan for Legionella. V1 said he…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-06-05 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to develop an Antibiotic Stewardship Program with a standardized tool and criteria to assess residents for infections. This applies to all 37 residents residing in the facility. The findings include: The facility's Long-term Care Application for Medicare and Medicaid dated June 2, 2025, showed the facility's census was 37 residents. On June 3, 2025, at 1:54 PM, V2 (DON/Director of Nursing) said she has been the facility's Infection Preventionist since 2020. V2 said she used to perform McGeer's Criteria for infections but stopped some time last year. V2 said she does not use a standardized tool for data collection of resident infections to identify if a resident has an infection. V2 said the facility does not have a current Antibiotic Stewardship Program policy. On June 4, 2025, at 10:18 AM, V2 said she had been behind on tracking resident antibiotic use in April 2025 because V2 had to work on the floor as a nurse. V2 said she was unable to keep up with her work. The facility's policy titled Infection Prevention and Control…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from unnecessary psychotropic medications. This applies to 3 of 5 residents (R13, R18, and R21) reviewed for unnecessary medications in the sample of 14. The findings include: 1. The EMR (Electronic Medical Record) showed R18 was admitted to the facility on [DATE], with multiple diagnoses including neurocognitive disorder with Lewy Bodies, unspecified psychosis not due to a substance or known physiological condition, major depressive disorder, anxiety disorder, paranoid personality disorder, Alzheimer's disease, and unspecified mood disorder. R18's MDS (Minimum Data Set) dated March 31, 2025, showed R18 had severely impaired cognitive skills for daily decision making. R18's Order Summary Report dated June 3, 2025, showed an active medication order dated April 18, 2025, for Haloperidol (antipsychotic medication) Lactate Oral Concentrate 2 mg (milligrams)/ mL (milliliters), give 0.75 mL by mouth every two hours as needed for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. R19's EMR (Electronic Medical Record) showed R19 was admitted to the facility on [DATE]. 2023, with diagnoses that included dementia unspecified severity with psychotic disturbances, anxiety, depression, and PTSD. R19's MDS (Minimum Data Set) dated March 31, 2025, showed R19 had mild cognitive impairment, and her active diagnoses included anxiety, depression, psychotic disorder, and PTSD (Post-traumatic stress disorder). R19's care plan showed there was no assessment of R19's diagnosis of PTSD, identification of PTSD triggers, or interventions to assist with R19's PTSD. R19's Social Service Quarterly Assessments showed there was no documentation that R19 had PTSD. On June 2, 2025, at 2:27 PM, R19 said she has had a lot of trauma in her life and she didn't know if facility knew that or knew what her triggers were. On June 4, 2025, at 12:22 PM, V7 (LCSW/Licensed Clinical Social Worker) said R19 does have a diagnosis of PTSD (Post Traumatic Stress Disorder) but said R19's PTSD is not active, meaning she has no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record reviewed the facility failed to date and contain resident's oxygen equipment for a resident with oxygen concentrator in their room. This applies to 1 of 1 resident (R25) reviewed for oxygen use in the sample of 14. The findings include: R25's admission record showed R25 was admitted to the facility on [DATE], with multiple diagnoses including chronic obstructive pulmonary disease, type 2 diabetes, history of pneumonia and bipolar disorder. R25's physician order summary showed R25 had an order for oxygen 2-3L (liters) per NC (Nasal Cannula) as needed for shortness of breath, initiated on May 31, 2025. On June 2, 2025, at 12:51 PM, R25's room had an oxygen concentrator in the room with tubing and nasal cannula that was undated and stored draped over the concentrator and touching the floor. There was no oxygen in use sign on the door to the room. R25's progress note dated May 22, 2025, at 3:10 PM showed R25 experienced shortness of breath and used oxygen 3L per NC for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to assess a resident with PTSD (Post-Traumatic Stress Disorder) and identify triggers. This applies to 1 of 1 resident (R19) reviewed for trauma informed care in a sample of 14. The findings include: R19's EMR (Electronic Medical Record) showed R19 was admitted to the facility on [DATE]. 2023, with diagnoses that included dementia unspecified severity with psychotic disturbances, anxiety, depression, and PTSD. R19's MDS (Minimum Data Set) dated March 31, 2025, showed R19 had mild cognitive impairment, and her active diagnoses included anxiety, depression, psychotic disorder, and PTSD. R19's Social Service Quarterly Assessments showed there was no documentation that R19 had PTSD. R19's POS (Physician Order Set) showed there were no orders to monitor for triggers or behaviors related to R19's diagnosis of PTSD. On June 2, 2025, at 2:27 PM, R19 said she has had a lot of trauma in her life and she didn't know if facility knew that or knew what…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident did not receive an unnecessary medication. This applies to 1 of 5 residents (R4) reviewed for unnecessary medications in a sample of 14. The findings include: Face sheet, dated June 4, 2025, shows R4's diagnoses included urinary tract infection. Hospital records, printed December 14, 2024, show R4's diagnoses included complicated UTIs (Urinary Tract Infections). POS (Physician Order Sheets), printed June 4, 2025, shows the following physician orders: Bactrim 400-80 mg (milligrams) one tablet daily every Monday, Wednesday and Friday- start date April 1, 2025, and to be given indefinitely. Nursing progress note, dated April 13, 2025, shows R4 was sent to the hospital after experiencing weakness and lack of responsiveness. Review of R4's hospital discharge record, printed April 13, 2025, shows no orders for Keflex or Bactrim on the after visit summary medication list. The discharge record shows R4's diagnoses included UTIs (Urinary Tract Infection). Nursing progress notes, dated April 13, 2025, shows R4…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in IL