Inspection Summary
Apr 2022 – Mar 202629%
of inspections passed with no issues found
2 of 7 inspections · Apr 2022 – Mar 2026
Inspections with issues
5 of 7 inspections
Total violations cited
15 violations total
What the violations were about
Resident services 4Environmental standards 3Records & reports 3General provisions 2Admission & retention standards 1Operating certificates 1Personnel 1
In plain language
- The most recent inspection was on February 9, 2026 (complaint survey) and found no violations.
- Across 7 inspections in the current reporting window, 2 found no violations at all; inspectors cited 15 violations in total.
- Of the 7 visits in this window, 4 were prompted by complaints and 3 were routine or other surveys.
- The state lists no formal enforcement actions against 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
370-S-861
County
Monroe
Phone
(585) 760-1300
Operated By
St. John's Meadows
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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General provisions
Regulation cited: CFR 488.3 (f) (2)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
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Records and reports
Regulation cited: CFR 485.11 (b)
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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 488.7 (b) (12-13)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
General provisions.
Regulation cited: CFR 1001.6 (e) (1) (i-iii)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (4)
Resident services.
Regulation cited: CFR 1001.10 (i) (1)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Records and reports.
Regulation cited: CFR 1001.12 (b) (1-7)
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Records and reports
Regulation cited: CFR 485.11 (b)
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✓ No violations found
Enforcement & Orders
Apr 2022 – Mar 2026No enforcement actions during the reporting period.