Citations Summary
Jun 2022 – May 202639 Total Citations — state avg: 41
Issued in the reporting period
19Standard Health
20Life Safety Code
Severity of Citations
How serious were those 39 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 4 inspections in the current reporting window, 1 found no citations at all; inspectors issued 39 citations in total.
- Of those, 19 were standard health citations (quality of care) and 20 were related to the Life Safety Code (fire protection).
- The state logged 42 complaints about this facility; 5 led to on-site inspections.
- The state has 3 formal enforcement actions (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
0226000N
County
Allegany
Phone
(585) 968-2000
Operated By
Cuba Memorial Hospital, Inc (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
82%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Criminal History Record Check Process
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas And Vacuum Piped Systems - Inspection And
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Protection - Other
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
Covid-19 Testing-residents & Staff
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Jun 2022 – May 2026Above state average. This facility received 89.8 complaints per 100 beds vs. a statewide rate of 57.4. 7 citations resulted from those complaints (15.0 per 100 beds vs. 5.3 statewide).
Total Complaints
42
55,669 statewide
Per 100 Occupied Beds
89.8
57.4 state avg
On-Site Inspections
5
7,566 statewide
Citations Issued
7
15.0 per 100 beds · avg 5.3
Facility-Reported Incidents
86%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 3 |
| Total | 8 |
Enforcement & Fines
Jun 2016 – May 20263 enforcement actions totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 22, 2022
$8,000
Stipulation & Order #NH-22-159 · Signed November 16, 2022
Reason: Quality of Care
Reason: Quality of Care
May 27, 2020
$2,000
Stipulation & Order #NH-20-021 · Signed July 21, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$2,000
Stipulation & Order #NH-17-054 · Signed October 9, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies