Inspection Summary
Apr 2022 – Mar 202638%
of inspections passed with no issues found
14 of 37 inspections · Apr 2022 – Mar 2026
Inspections with issues
23 of 37 inspections
Total violations cited
89 violations total
What the violations were about
Resident services 30Environmental standards 16Medication management 14Admission & retention standards 8Operating certificates 5Personnel 5Admission standards 3Food service 3Disaster & emergency planning 2General provisions 1Records & reports 1Resident protections 1
In plain language
- The most recent inspection was on February 19, 2026 (complaint survey) and found no violations.
- Across 37 inspections in the current reporting window, 14 found no violations at all; inspectors cited 89 violations in total.
- Of the 37 visits in this window, 34 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
Adult Home
Operating Certificate
240-F-868
County
Erie
Phone
(716) 881-0565
Operated By
Mary Agnes Manor, LLC
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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✓ No violations found
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✓ No violations found
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✓ No violations found
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Environmental standards
Regulation cited: CFR 487.11 (j) (1-3)
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Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Admission and retention standards
Regulation cited: CFR 494.4 (a)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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✓ No violations found
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Operating certificates
Regulation cited: CFR 485.5 (g)
Resident services
Regulation cited: CFR 487.7 (f) (8)
Food service
Regulation cited: CFR 487.8 (e) (1)
Food service
Regulation cited: CFR 487.8 (e) (12-13)
Personnel
Regulation cited: CFR 487.9 (a) (1)
Personnel
Regulation cited: CFR 487.9 (a) (6)
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Environmental standards
Regulation cited: CFR 487.11 (f) (12)
Environmental standards
Regulation cited: CFR 487.11 (f) (17)
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Environmental standards
Regulation cited: CFR 487.11 (k) (14)
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Environmental standards
Regulation cited: CFR 487.11 (k) (16)
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Resident services.
Regulation cited: CFR 1001.10 (i) (1)
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) (4-7)
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✓ No violations found
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✓ No violations found
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Operating certificates
Regulation cited: CFR 485.5 (g)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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✓ No violations found
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General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Resident services
Regulation cited: CFR 487.7 (f) (8)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
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✓ No violations found
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Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
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✓ No violations found
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✓ No violations found
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Admission standards
Regulation cited: CFR 487.4 (a)
Admission standards
Regulation cited: CFR 487.4(f)-(g)
Resident services
Regulation cited: CFR 487.7 (d) (11)
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Resident services
Regulation cited: CFR 487.7 (d) (11)
Environmental standards
Regulation cited: CFR 487.11 (a)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Admission and retention standards
Regulation cited: CFR 494.4 (k)
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)
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Operating certificates
Regulation cited: CFR 485.5 (f)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Admission standards
Regulation cited: CFR 487.4 (c) (5)
Resident services
Regulation cited: CFR 487.7 (d) (6) (i)
Resident services
Regulation cited: CFR 487.7 (f) (5)
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
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Resident services
Regulation cited: CFR 487.7 (d) (6) (i)
Personnel
Regulation cited: CFR 487.9 (a) (3)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (1)
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Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
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Resident services
Regulation cited: CFR 487.7 (d) (10) (i-iii)
Resident services
Regulation cited: CFR 487.7 (d) (11)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Operating certificates
Regulation cited: CFR 485.5 (f)
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Resident services
Regulation cited: CFR 487.7 (d) (6) (ii)
Resident services
Regulation cited: CFR 487.7 (d) (11)
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Resident services
Regulation cited: CFR 487.7 (f) (12) (iii)
Food service
Regulation cited: CFR 487.8 (c)
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Environmental standards
Regulation cited: CFR 487.11 (i) (7)
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (1)
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) (3)
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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✓ No violations found
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Environmental standards
Regulation cited: CFR 487.11 (k) (8)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Operating certificates
Regulation cited: CFR 485.5 (f)
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✓ No violations found
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Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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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)
Enforcement & Orders
Apr 2022 – Mar 20261 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
May 1, 2024
Stipulation & Order
#ACF-24-012