NY DOH Assisted Living Facility — Inspection Report

Briarwood Manor, Inc.

📍 1001 Lincoln Avenue, Lockport, NY 14094

Inspection Summary

Oct 2021 – Sep 2025
19%
of inspections passed with no issues found
3 of 16 inspections · Oct 2021 – Sep 2025
Inspections with issues
13 of 16 inspections
Total violations cited
65 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
July 14, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

July 1, 2025 Other Survey 1 Violation
▼
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Under Review
April 28, 2025 Complaint Survey 2 Violations
▼
General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (h) (5)
Plan/Notice of Correction Under Review
February 7, 2025 Relicensure, Complaint Survey 25 Violations
▼
General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
Plan/Notice of Correction Under Review
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Under Review
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (h)(1)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (m)
Plan/Notice of Correction Under Review
Resident funds and valuables
Regulation cited: CFR 487.6 (c) (12)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (d) (4,8,10-11)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Under Review
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Under Review
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Under Review
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (f) (17)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (h) (7)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (h) (11)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (m) (2)
Plan/Notice of Correction Under Review
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Under Review
March 6, 2025 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
December 2, 2024 Complaint Survey 2 Violations
▼
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Under Review
December 11, 2024 Complaint Survey 1 Violation
▼
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Under Review
September 26, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

July 8, 2024 Complaint Survey 2 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Under Review
January 5, 2024 Complaint Survey 3 Violations
▼
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Under Review
August 22, 2023 Complaint Survey 0 Violations
▼

✓ No violations found

August 22, 2023 Complaint Survey 5 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Under Review
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (10) (i-iii)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
January 8, 2024 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Under Review
March 20, 2023 Relicensure, Complaint Survey 17 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Under Review
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Under Review
Resident protections
Regulation cited: CFR 487.5 (a) (3) (ix)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Under Review
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (f) (16)
Plan/Notice of Correction Under Review
Disaster and emergency planning
Regulation cited: CFR 487.12 (g)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 494.4 (h)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 494.4 (k)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Under Review
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Plan/Notice of Correction Under Review
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Under Review
June 3, 2022 Complaint Survey 4 Violations
▼
Resident protections
Regulation cited: CFR 487.5 (a) (3) (ix)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Under Review
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 494.4 (c)
Plan/Notice of Correction Under Review
December 28, 2021 Complaint Survey 1 Violation
▼
Personnel
Regulation cited: CFR 487.9 (f) (6)
Plan/Notice of Correction Under Review

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
August 27, 2025
Stipulation & Order
#ACF-25-052