Citations Summary
Jun 2022 – May 202620 Inspections Conducted
11
No citations found
55% of all inspections
9
Resulted in citations
45% of all inspections
28 Total Citations — state avg: 41
Issued across those 9 inspections
16Standard Health
12Life Safety Code
Severity of Citations
How serious were those 28 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 20 inspections in the current reporting window, 11 found no citations at all; inspectors issued 28 citations in total.
- Of those, 16 were standard health citations (quality of care) and 12 were related to the Life Safety Code (fire protection).
- The state logged 93 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
1451307N
County
Erie
Phone
(716) 835-2543
Operated By
4459 Bailey Avenue Operating Company, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
91%
Staff Flu Vaccination
74%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Evacuation And Relocation Plan
Life Safety Code Citation — NFPA requirements
Fire Drills
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
Organization And Administration
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Cardio-pulmonary Resuscitation (cpr)
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
Develop/implement Abuse/neglect Policies
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Evacuation And Relocation Plan
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
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 112.0 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (4.8 per 100 beds vs. 5.3 statewide).
Total Complaints
93
55,669 statewide
Per 100 Occupied Beds
112.0
57.4 state avg
On-Site Inspections
19
7,566 statewide
Citations Issued
4
4.8 per 100 beds · avg 5.3
Facility-Reported Incidents
72%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 3 |
| Physical Environment | 0 |
| Quality of Care | 2 |
| Resident Rights | 3 |
| Total | 8 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 15, 2023
$10,000
Stipulation & Order #NH-24-042 · Signed July 2, 2024
Reason: Quality of Care
Reason: Quality of Care
October 8, 2020
$8,000
Stipulation & Order #NH-21-150 · Signed August 18, 2021
Reason: Quality of Care
Reason: Quality of Care