Inspection Summary

Apr 2022 – Mar 2026
40%
of inspections passed with no issues found
2 of 5 inspections · Apr 2022 – Mar 2026
Inspections with issues
3 of 5 inspections
Total violations cited
6 violations total
What the violations were about
Resident services 2Admission & retention standards 1Admission standards 1Environmental standards 1General requirements 1
In plain language
  • The most recent inspection was on November 26, 2025 (relicensure, complaint survey) and found 3 violations.
  • Across 5 inspections in the current reporting window, 2 found no violations at all; inspectors cited 6 violations in total.
  • Of the 5 visits in this window, 5 were prompted by complaints and 0 were routine or other surveys.
  • The state lists no formal enforcement actions against this facility.

A violation is a rule breach noted by a state inspector. Most are administrative and get corrected through an approved plan of correction; the sections below show exactly what was cited and the status of each correction plan.

Provider Information

Type
Adult Home
Operating Certificate
060-E-015
County
Chautauqua
Phone
(716) 720-9610
Operated By
Lutheran Housing Realty Inc.
DOH Regional Office
Western Regional Office - Buffalo

Inspection Details

Apr 2022 – Mar 2026
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
November 26, 2025 Relicensure, Complaint Survey 3 Violations
General requirements
Regulation cited: CFR 402.4(a)(1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (a)
Plan/Notice of Correction Approved
October 21, 2025 Complaint Survey 0 Violations

✓ No violations found

February 21, 2025 Complaint Survey 0 Violations

✓ No violations found

October 18, 2024 Complaint Survey 1 Violation
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
April 16, 2024 Relicensure, Complaint Survey 2 Violations
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved

Enforcement & Orders

Apr 2022 – Mar 2026
No enforcement actions during the reporting period.