Inspection Summary

Apr 2022 – Mar 2026
62%
of inspections passed with no issues found
10 of 16 inspections · Apr 2022 – Mar 2026
Inspections with issues
6 of 16 inspections
Total violations cited
16 violations total
What the violations were about
Environmental standards 6Admission & retention standards 4Medication management 3Civil penalties 1Operating certificates 1Personnel 1
In plain language
  • The most recent inspection was on February 6, 2026 (complaint survey) and found no violations.
  • Across 16 inspections in the current reporting window, 10 found no violations at all; inspectors cited 16 violations in total.
  • Of the 16 visits in this window, 12 were prompted by complaints and 4 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-119
County
Erie
Phone
(716) 677-4242
Operated By
580 Orchard Park Road Operating Company, Llc
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 6, 2026 Complaint Survey 0 Violations

✓ No violations found

January 16, 2026 Relicensure Survey 5 Violations
Environmental standards
Regulation cited: CFR 488.11 (e) (9)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (7)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (14)
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
December 10, 2025 Complaint Survey 0 Violations

✓ No violations found

August 25, 2025 Complaint Survey 0 Violations

✓ No violations found

May 5, 2025 Complaint Survey 0 Violations

✓ No violations found

April 24, 2025 Complaint Survey 0 Violations

✓ No violations found

January 27, 2025 Other Survey 0 Violations

✓ No violations found

January 27, 2025 Complaint Survey 0 Violations

✓ No violations found

November 12, 2024 Complaint Survey 0 Violations

✓ No violations found

July 24, 2024 Complaint Survey 1 Violation
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
July 24, 2024 Relicensure Survey 7 Violations
Operating certificates
Regulation cited: CFR 485.5 (f)
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) (5)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
Structural and environmental standards.
Regulation cited: CFR 1001.13 (a)
Plan/Notice of Correction Approved
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(1)(i-iii)(2)(3)(4)(iv-vi)
Plan/Notice of Correction Approved
July 10, 2024 Complaint Survey 0 Violations

✓ No violations found

October 2, 2023 Complaint, Follow-up Survey 1 Violation
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Plan/Notice of Correction Approved
May 23, 2023 Complaint Survey 1 Violation
Admission and retention standards
Regulation cited: CFR 488.4 (c) (1)
Plan/Notice of Correction Approved
May 22, 2023 Complaint Survey 1 Violation
Civil penalties
Regulation cited: CFR 486.5 (a) (4) (v)
Plan/Notice of Correction Approved
May 22, 2023 Other Survey 0 Violations

✓ No violations found

Enforcement & Orders

Apr 2022 – Mar 2026
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
November 7, 2023
Stipulation & Order
#ACF-23-012