NY DOH Assisted Living Facility — Inspection Report

Willow Creek

📍 4460 Union Hill Rd., Hinsdale, NY 14743

Inspection Summary

Oct 2021 – Sep 2025
17%
of inspections passed with no issues found
2 of 12 inspections · Oct 2021 – Sep 2025
Inspections with issues
10 of 12 inspections
Total violations cited
28 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 12, 2025 Other Survey 0 Violations
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✓ No violations found

February 26, 2025 Complaint Survey 6 Violations
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Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (a)
Plan/Notice of Correction Approved
November 26, 2024 Relicensure, Complaint Survey 4 Violations
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Resident services
Regulation cited: CFR 487.7 (d) (6) (ii)
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
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
March 25, 2024 Complaint Survey 7 Violations
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Admission standards
Regulation cited: CFR 487.4 (h)(1)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (e) (9)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (k)
Plan/Notice of Correction Approved
October 20, 2023 Complaint Survey 1 Violation
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Resident services
Regulation cited: CFR 487.7 (d) (4)
Plan/Notice of Correction Approved
August 16, 2023 Complaint Survey 2 Violations
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Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
February 13, 2023 Other Survey 1 Violation
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Environmental standards
Regulation cited: CFR 487.11 (b) (1-2)
Plan/Notice of Correction Approved
November 1, 2022 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
May 13, 2022 Complaint Survey 2 Violations
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Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
April 20, 2022 Complaint Survey 3 Violations
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General requirements
Regulation cited: CFR 402.4(b)(2)(i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Approved
September 17, 2021 Complaint Survey 0 Violations
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✓ No violations found

August 28, 2021 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
No enforcement actions during the reporting period.