Fms-Freedom Center of Buffalo
A dialysis facility in Williamsville, New York 14221
52 South Union Road, Williamsville, New York 14221. (716) 630-6831.
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The short answer
Record last released by CMS on Oct 28, 2026.
- Not rated CMS’s star rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 0 dialysis stations
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 7, 2025: a standard inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 30, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
May 7, 2025: standard inspection2 deficiencies
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Pe - Safe, Functional, Comfortable Environment
The inspectors’ words, 211 words
“PE-SAFE/FUNCTIONAL/COMFORTABLE ENVIRONMENT CFR(s): 494.60 The dialysis facility must be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment. This Standard is not met as evidenced by: 16136 Based on observation, document review, and interview, the facility does not ensure the pathway of egress is unobstructed, fire doors are not propped open, and fire doors are inspected annually. Findings include: Observation on 05/06/25 and 05/07/25 revealed all the fire rated doors throughout the facility were propped open with a rubber wedge for nine of nine doors. Observation on 05/07/25 at 01:10 PM revealed the fire door in the marked egress, adjacent to the staff breakroom, was locked and required a passcode to open the door. Interview with Staff (E), Area Technology Operations Manager and Staff (H), Biomedical Technician, did not have knowledge if the locking mechanism released upon activation of the fire alarm system. From 05/06/25 to 05/07/25, the facility failed to provide requested documentation to verify the fire doors had been inspected annually by a qualified person and/or provide a written record of the inspection per National Fire Protection Association (NFPA) 80-2010 edition. An interview on 05/07/25 at 02:30 PM with Staff (E), Area Technology Operations Manager, verified these findings.”
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Provide Ordered Supplies/Equipment
The inspectors’ words, 240 words
“H-PROVIDE ORDERED SUPPLIES/EQUIPMENT CFR(s): 494.100(c)(1)(vi) Services include, but are not limited to, the following: (vi) Purchasing, leasing, renting, delivering, installing, repairing and maintaining medically necessary home dialysis supplies and equipment (including supportive equipment) prescribed by the attending physician. This Standard is not met as evidenced by: 16136 Based on document review, medical record review, and interview, for three of three patients reviewed, the facility does not ensure that the maintenance on the home dialysis equipment is performed (Patient #12, 13 and 14). Findings include: Review of the manufacturer’s recommendations for the NxStage hemodialysis machine indicate the blood leak detector must be cleaned monthly, the drain line must be flushed and disinfected a minimum of monthly, the air filter must be cleaned or replaced quarterly, the prefilter must be replaced annually, and the sediment filter must be replaced annually. Review of the electronic medical records for Patient’s #12, #13 and #14 revealed no evidence that the routine maintenance had been performed on NxStage hemodialysis machine (home therapies for hemodialysis, a process that filters blood outside the body to remove waste and excess fluid) per manufacturer’s recommendations. Specifically, there was no evidence for quarterly air filter maintenance for all three patients, that the annual sediment filter had been replaced for Patient’s #13 and Patient #14, and that the monthly blood leak detector was cleaned monthly for Patient #12. Interview on 05/07/25 at 02:20 PM with Staff (F), Registered Nurse, verified these findings.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 7, 2025 | Standard inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Jun 26, 2014.
- Run for profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Chain: Fresenius Medical Care.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
What does it offer?
- Offers peritoneal dialysis and home hemodialysis training.
- Doesn’t offer in-center hemodialysis and a shift starting at 5 p.m. or later.
- 0 dialysis stations.
- CMS doesn’t publish staffing levels for dialysis facilities.
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
Who owns it?
- Part of the Fresenius Medical Care chain, as CMS lists it.
- CMS publishes no owners file for dialysis facilities, so no other owner is named.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
How do patients fare?
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Not enough quality measure data to calculate a star rating.”
- Compared by CMS with what it expects for the facility’s patients: patient survival, as expected; hospital admissions, as expected; readmissions to hospital, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; patients dialysing through a fistula, as expected; patients on a kidney transplant waitlist, as expected.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Survey data not available for this reporting period.”
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Star ratingCMS’s star rating for dialysis facilities, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5 | Not rated |
How does it compare nearby?
- Of the 17 dialysis facilities CMS lists in Erie County, 15 have a star rating from CMS: 3 rated 4 of 5, 5 rated 3 of 5, 5 rated 2 of 5, 2 rated 1 of 5.
- CMS gives this facility no star rating to compare.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for dialysis facilities, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says it has no dialysis inspection reports after February 19, 2026, while it moves to a new system: a later inspection is not shown yet.
- CMS doesn’t publish staffing levels for dialysis facilities.
- CMS publishes no owners file for dialysis facilities: the chain it lists is the only owner named.
Sources
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Centers for Medicare & Medicaid Services, Dialysis Facility - Listing by Facility (23ew-n7w9).
Released Jul 15, 2026 and checked Oct 30, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (ICH CAHPS) - Facility (59mq-zhts).
Released Jul 15, 2026 and checked Oct 30, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies (ESRD_2567s_2018_to_2026YTD.xlsx).
Released Oct 28, 2026 and checked Oct 30, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 30, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.