Citations Summary

Jun 2022 โ€“ May 2026
12 Inspections Conducted
9
No citations found
75% of all inspections
3
Resulted in citations
25% of all inspections
18 Total Citations โ€” state avg: 41
Issued across those 3 inspections
7Standard Health
11Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected โœ“
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 18 citations in total.
  • Of those, 7 were standard health citations (quality of care) and 11 were related to the Life Safety Code (fire protection).
  • The state logged 39 complaints about this facility; 14 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
1404000N
County
Erie
Phone
(716) 447-6600
Operated By
Catholic Health System, Inc. (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
86%
Staff Flu Vaccination
93%

Inspection Details

Surveys with Citations Only
January 8, 2025 CERTIFICATION/COMPLAINT Survey 2 Health 7 LSC
โ–ผ
Standard Health Citations
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 5, 2025
Routine/emergency Dental Srvcs In Snfs
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 5, 2025
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Egress Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 1, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 25, 2025
Elevators
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 14, 2025
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 14, 2025
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 14, 2025
September 14, 2023 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 1, 2023
May 15, 2023 CERTIFICATION/COMPLAINT Survey 4 Health 4 LSC
โ–ผ
Standard Health Citations
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 13, 2023
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 9, 2023
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread July 13, 2023
Life Safety Code Citations
Egress Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 13, 2023
Emergency Lighting
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 13, 2023
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 13, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 13, 2023
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Jun 2022 โ€“ May 2026
Below state average. This facility received 29.0 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (2.2 per 100 beds vs. 5.3 statewide).
Total Complaints
39
55,669 statewide
Per 100 Occupied Beds
29.0
57.4 state avg
On-Site Inspections
14
7,566 statewide
Citations Issued
3
2.2 per 100 beds ยท avg 5.3
Facility-Reported Incidents
36%
55% statewide
Citations by CategoryThis Facility
Administration1
Dietary Services0
Other Services2
Physical Environment0
Quality of Care2
Resident Rights2
Total7

Enforcement & Fines

Jun 2016 โ€“ May 2026