Inspection Summary

Apr 2022 – Mar 2026
25%
of inspections passed with no issues found
3 of 12 inspections · Apr 2022 – Mar 2026
Inspections with issues
9 of 12 inspections
Total violations cited
27 violations total
What the violations were about
Resident services 16Records & reports 4Admission & retention standards 2Admission standards 2Environmental standards 1General requirements 1Operating certificates 1
In plain language
  • The most recent inspection was on February 4, 2026 (complaint survey) and found no violations.
  • Across 12 inspections in the current reporting window, 3 found no violations at all; inspectors cited 27 violations in total.
  • Of the 12 visits in this window, 9 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
Adult Home
Operating Certificate
040-F-032
County
Cattaraugus
Phone
(716) 557-2322
Operated By
Underwood Gardens, 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 4, 2026 Complaint Survey 0 Violations

✓ No violations found

September 12, 2025 Other Survey 0 Violations

✓ No violations found

April 11, 2025 Complaint Survey 6 Violations
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
February 25, 2025 Relicensure, Complaint Survey 4 Violations
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
April 1, 2024 Complaint Survey 7 Violations
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
April 1, 2024 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (d) (4)
Plan/Notice of Correction Approved
October 11, 2023 Complaint Survey 2 Violations
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 15, 2023 Other Survey 1 Violation
Environmental standards
Regulation cited: CFR 487.11 (b) (1-2)
Plan/Notice of Correction Approved
November 4, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
July 27, 2022 Complaint Survey 2 Violations
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
July 26, 2022 Complaint Survey 3 Violations
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
July 26, 2022 Complaint Survey 0 Violations

✓ No violations found

Enforcement & Orders

Apr 2022 – Mar 2026
No enforcement actions during the reporting period.