Citations Summary
Jun 2022 – May 202612 Inspections Conducted
9
No citations found
75% of all inspections
3
Resulted in citations
25% of all inspections
20 Total Citations — state avg: 41
Issued across those 3 inspections
4Standard Health
16Life Safety Code
Severity of Citations
How serious were those 20 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 12 inspections in the current reporting window, 9 found no citations at all; inspectors issued 20 citations in total.
- Of those, 4 were standard health citations (quality of care) and 16 were related to the Life Safety Code (fire protection).
- The state logged 23 complaints about this facility; 12 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
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
1401008N
County
Erie
Phone
(716) 828-2300
Operated By
Catholic Health System, Inc. (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
100%
Staff Flu Vaccination
74%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
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
▼
Standard Health Citations
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Precautions For Handling Oxyg
Life Safety Code Citation — NFPA requirements
General Requirements - Other
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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 2026Below state average. This facility received 27.5 complaints per 100 beds vs. a statewide rate of 57.4. 0 citations resulted from those complaints (0.0 per 100 beds vs. 5.3 statewide).
Total Complaints
23
55,669 statewide
Per 100 Occupied Beds
27.5
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
0
0.0 per 100 beds · avg 5.3
Facility-Reported Incidents
83%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 1 |
| Resident Rights | 1 |
| Total | 2 |