Citations Summary
Jun 2022 – May 202618 Inspections Conducted
12
No citations found
67% of all inspections
6
Resulted in citations
33% of all inspections
30 Total Citations — state avg: 41
Issued across those 6 inspections
17Standard Health
13Life Safety Code
Severity of Citations
How serious were those 30 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 18 inspections in the current reporting window, 12 found no citations at all; inspectors issued 30 citations in total.
- Of those, 17 were standard health citations (quality of care) and 13 were related to the Life Safety Code (fire protection).
- The state logged 115 complaints about this facility; 19 led to on-site inspections.
- The state has 2 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
0469300N
County
Cattaraugus
Phone
(716) 353-8516
Operated By
County of Cattaraugus (Public)
DOH Regional Office
Western NY
Occupancy Rate
95%
Staff Flu Vaccination
81%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Develop/implement Abuse/neglect Policies
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
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
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
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 108.5 complaints per 100 beds vs. a statewide rate of 57.4. 7 citations resulted from those complaints (6.6 per 100 beds vs. 5.3 statewide).
Total Complaints
115
55,669 statewide
Per 100 Occupied Beds
108.5
57.4 state avg
On-Site Inspections
19
7,566 statewide
Citations Issued
7
6.6 per 100 beds · avg 5.3
Facility-Reported Incidents
94%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 0 |
| Quality of Care | 0 |
| Resident Rights | 2 |
| Total | 6 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $34,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 3, 2025
$24,000
Stipulation & Order #NH-25-075 · Signed October 23, 2025
Reason: Quality of Care
Reason: Quality of Care
March 3, 2021
$10,000
Stipulation & Order #NH-21-088 · Signed May 6, 2021
Reason: Quality of Care
Reason: Quality of Care