NY DOH Assisted Living Facility — Inspection Report

Mary Agnes Manor ALP

📍 307 Porter Avenue, Buffalo, NY 14201

Inspection Summary

Oct 2021 – Sep 2025
33%
of inspections passed with no issues found
11 of 33 inspections · Oct 2021 – Sep 2025
Inspections with issues
22 of 33 inspections
Total violations cited
86 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
June 11, 2025 Relicensure, Complaint Survey 22 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (g)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (8)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (12-13)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (1)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (6)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (12)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (17)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (14)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (16)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (1)
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) (4-7)
Plan/Notice of Correction Approved
May 22, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

May 23, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

March 25, 2025 Complaint Survey 2 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (g)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
February 14, 2025 Complaint Survey 2 Violations
▼
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
January 8, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

December 31, 2024 Complaint Survey 4 Violations
▼
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (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) (4-7)
Plan/Notice of Correction Approved
November 14, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

August 27, 2024 Complaint Survey 1 Violation
▼
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
September 25, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

September 9, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

July 26, 2024 Complaint Survey 3 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4(f)-(g)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
June 13, 2024 Complaint Survey 2 Violations
▼
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (a)
Plan/Notice of Correction Approved
March 25, 2024 Complaint Survey 1 Violation
▼
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
November 15, 2023 Complaint Survey 1 Violation
▼
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
February 29, 2024 Complaint Survey 4 Violations
▼
Admission and retention standards
Regulation cited: CFR 494.4 (k)
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
February 29, 2024 Complaint Survey 2 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
August 10, 2023 Complaint Survey 5 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
September 28, 2023 Complaint Survey 3 Violations
▼
Resident services
Regulation cited: CFR 487.7 (d) (6) (i)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (1)
Plan/Notice of Correction Approved
September 7, 2023 Complaint Survey 1 Violation
▼
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
August 18, 2023 Complaint Survey 3 Violations
▼
Resident services
Regulation cited: CFR 487.7 (d) (10) (i-iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
July 7, 2023 Relicensure, Complaint Survey 21 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (ii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (12) (iii)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (c)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (7)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
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) (1)
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) (3)
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
July 7, 2023 Complaint Survey 0 Violations
▼

✓ No violations found

February 23, 2023 Complaint Survey 2 Violations
▼
Environmental standards
Regulation cited: CFR 487.11 (k) (8)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
May 16, 2022 Other Survey 1 Violation
▼
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
November 4, 2022 Other Survey 0 Violations
▼

✓ No violations found

October 25, 2022 Complaint Survey 3 Violations
▼
Resident services
Regulation cited: CFR 487.7 (f) (11) (i-v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
July 11, 2022 Complaint Survey 0 Violations
▼

✓ No violations found

June 8, 2022 Complaint Survey 0 Violations
▼

✓ No violations found

September 29, 2022 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
February 9, 2022 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
July 1, 2021 Other Survey 0 Violations
▼

✓ No violations found

October 6, 2021 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
May 1, 2024
Stipulation & Order
#ACF-24-012