Inspection Summary

Apr 2022 – Mar 2026
50%
of inspections passed with no issues found
6 of 12 inspections · Apr 2022 – Mar 2026
Inspections with issues
6 of 12 inspections
Total violations cited
21 violations total
What the violations were about
Resident services 6Medication management 4Admission & retention standards 3Personnel 2Records & reports 2Disaster & emergency planning 1Environmental standards 1General provisions 1Provider notification duties 1
In plain language
  • The most recent inspection was on March 10, 2026 (other survey) and found 1 violation.
  • Across 12 inspections in the current reporting window, 6 found no violations at all; inspectors cited 21 violations in total.
  • Of the 12 visits in this window, 9 were prompted by complaints and 3 were routine or other surveys.
  • The state has 1 formal enforcement action on record for 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
Enriched Housing Program
Operating Certificate
500-S-002
County
Niagara
Phone
(716) 731-1634
Operated By
SH Niagara Operator, 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.
March 10, 2026 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
January 16, 2026 Complaint Survey 0 Violations

✓ No violations found

December 4, 2025 Complaint Survey 0 Violations

✓ No violations found

October 20, 2025 Complaint Survey 0 Violations

✓ No violations found

October 3, 2025 Complaint Survey 0 Violations

✓ No violations found

September 24, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
August 18, 2025 Complaint Survey 0 Violations

✓ No violations found

June 23, 2025 Complaint Survey 6 Violations
Personnel
Regulation cited: CFR 488.9 (a) (1)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
February 13, 2025 Relicensure, Complaint Survey 8 Violations
Responsibilities of providers; required notif
Regulation cited: CFR 402.9(a)(1)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 488.3 (f) (2)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (l)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Under Review
May 20, 2024 Complaint Survey 1 Violation
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
June 1, 2023 Complaint Survey 4 Violations
Resident services
Regulation cited: CFR 488.7 (b) (1) (i)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
November 14, 2022 Other Survey 0 Violations

✓ No violations found

Enforcement & Orders

Apr 2022 – Mar 2026
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
May 12, 2025
Stipulation & Order
#ACF-25-032