Inspection Summary
Apr 2022 – Mar 202630%
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 2026ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
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Admission and retention standards
Regulation cited: CFR 488.4 (a)
Resident services
Regulation cited: CFR 488.7 (b) (11)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Environmental standards
Regulation cited: CFR 488.11 (d) (1)
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Admission and retention standards
Regulation cited: CFR 488.4 (a)
Admission and retention standards
Regulation cited: CFR 488.4 (c) (11) (vi)
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Resident services
Regulation cited: CFR 488.7 (b) (11)
Resident services
Regulation cited: CFR 488.7 (b) (12-13)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Environmental standards
Regulation cited: CFR 488.11 (e) (3)
Environmental standards
Regulation cited: CFR 488.11 (g) (14)
Environmental standards
Regulation cited: CFR 488.11 (g) (16)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (b)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (c)(1-10)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (h)
General provisions.
Regulation cited: CFR 1001.6 (e) (1) (i-iii)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(1)(i-iii)(2)(3)(4)(iv-vi)
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(5), (b)(6)(1-12)
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✓ No violations found
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
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✓ No violations found
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✓ No violations found
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Records and reports
Regulation cited: CFR 485.11 (b)
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Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Resident services
Regulation cited: CFR 488.7 (b) (12-13)
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Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Resident services
Regulation cited: CFR 488.7 (b) (11)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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✓ No violations found
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Operating certificates
Regulation cited: CFR 485.5 (f)
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Admission and retention standards
Regulation cited: CFR 488.4 (c) (11) (vi)
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
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Records and reports
Regulation cited: CFR 488.10 (e) (4)
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✓ No violations found
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General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
Criminal history record check process
Regulation cited: CFR 402.6(b)
General provisions
Regulation cited: CFR 488.3 (d)
Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Resident services
Regulation cited: CFR 488.7 (b) (11)
Food service
Regulation cited: CFR 488.8 (b) (4)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (l)
Admission and retention standards.
Regulation cited: CFR 1001.7 (h)
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (1)-(2) (i-ii)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Resident services
Regulation cited: CFR 488.7 (d) (8) (i-iii)
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Records and reports
Regulation cited: CFR 488.10 (e) (1)
Enforcement & Orders
Apr 2022 – Mar 20261 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
September 26, 2024
Stipulation & Order
#ACF-24-029