Inspection Summary

Apr 2022 – Mar 2026
75%
of inspections passed with no issues found
6 of 8 inspections · Apr 2022 – Mar 2026
Inspections with issues
2 of 8 inspections
Total violations cited
10 violations total
What the violations were about
Environmental standards 3Admission & retention standards 2Personnel 2Resident services 2Disaster & emergency planning 1
In plain language
  • The most recent inspection was on December 15, 2025 (complaint survey) and found no violations.
  • Across 8 inspections in the current reporting window, 6 found no violations at all; inspectors cited 10 violations in total.
  • Of the 8 visits in this window, 6 were prompted by complaints and 2 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
Enriched Housing Program
Operating Certificate
240-S-105
County
Erie
Phone
(716) 684-8400
Operated By
Lutheran Church Home at Greenfield 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.
December 15, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

December 1, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

December 1, 2025 Relicensure Survey 3 Violations
▼
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Plan/Notice of Correction Under Review
October 21, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

October 17, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

April 11, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

October 22, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

August 26, 2024 Relicensure Survey 7 Violations
▼
Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (1)(i-iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 488.9 (a) (2) (iv)
Plan/Notice of Correction Approved
Disaster and emergency procedures
Regulation cited: CFR 488.12 (c)(1-10)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (n) (ANNULLED)
Plan/Notice of Correction Approved
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(1)(i-iii)(2)(3)(4)(iv-vi)
Plan/Notice of Correction Approved

Enforcement & Orders

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