Inspection Summary

Apr 2022 – Mar 2026
30%
of inspections passed with no issues found
6 of 20 inspections · Apr 2022 – Mar 2026
Inspections with issues
14 of 20 inspections
Total violations cited
60 violations total
What the violations were about
Admission & retention standards 16Resident services 13Environmental standards 7Medication management 7Disaster & emergency planning 4Records & reports 3General provisions 2Personnel 2Criminal history record checks 1Food service 1General requirements 1Inspection 1Operating certificates 1Resident protections 1
In plain language
  • The most recent inspection was on February 9, 2026 (complaint survey) and found 3 violations.
  • Across 20 inspections in the current reporting window, 6 found no violations at all; inspectors cited 60 violations in total.
  • Of the 20 visits in this window, 17 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
240-S-125
County
Erie
Phone
(716) 689-4195
Operated By
CSL Amberleigh, 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.
February 9, 2026 Complaint Survey 3 Violations
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (b) (11)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
December 22, 2025 Complaint Survey 1 Violation
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Approved
September 29, 2025 Relicensure, Complaint Survey 17 Violations
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 488.4 (c) (11) (vi)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (b) (11)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (b) (12-13)
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 (e) (3)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (14)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (16)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (b)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (c)(1-10)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (h)
Plan/Notice of Correction Under Review
General provisions.
Regulation cited: CFR 1001.6 (e) (1) (i-iii)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(1)(i-iii)(2)(3)(4)(iv-vi)
Plan/Notice of Correction Under Review
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(5), (b)(6)(1-12)
Plan/Notice of Correction Under Review
September 2, 2025 Complaint Survey 0 Violations

✓ No violations found

March 25, 2025 Complaint Survey 0 Violations

✓ No violations found

March 25, 2025 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Plan/Notice of Correction Approved
February 3, 2025 Complaint Survey 0 Violations

✓ No violations found

December 24, 2024 Complaint Survey 0 Violations

✓ No violations found

December 18, 2024 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
November 22, 2024 Complaint Survey 2 Violations
Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (b) (12-13)
Plan/Notice of Correction Approved
October 16, 2024 Complaint Survey 3 Violations
Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
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)(1)
Plan/Notice of Correction Approved
August 27, 2024 Complaint Survey 2 Violations
Resident services
Regulation cited: CFR 488.7 (b) (11)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
June 6, 2024 Complaint Survey 0 Violations

✓ No violations found

May 30, 2024 Relicensure, Complaint, Follow-up Survey 7 Violations
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 488.4 (c) (11) (vi)
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
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
April 25, 2024 Complaint Survey 2 Violations
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Approved
December 13, 2023 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 488.10 (e) (4)
Plan/Notice of Correction Approved
September 21, 2023 Complaint Survey 0 Violations

✓ No violations found

September 14, 2023 Relicensure, Complaint Survey 18 Violations
General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
Plan/Notice of Correction Approved
Criminal history record check process
Regulation cited: CFR 402.6(b)
Plan/Notice of Correction Approved
General provisions
Regulation cited: CFR 488.3 (d)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (b) (11)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 488.8 (b) (4)
Plan/Notice of Correction Approved
Disaster and emergency procedures
Regulation cited: CFR 488.12 (l)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (h)
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
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (1)-(2) (i-ii)
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)(1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Approved
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
February 17, 2023 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (d) (8) (i-iii)
Plan/Notice of Correction Approved
June 29, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 488.10 (e) (1)
Plan/Notice of Correction Approved

Enforcement & Orders

Apr 2022 – Mar 2026
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
September 26, 2024
Stipulation & Order
#ACF-24-029