Citations Summary
Jun 2022 โ May 202620 Inspections Conducted
15
No citations found
75% of all inspections
5
Resulted in citations
25% of all inspections
30 Total Citations โ state avg: 41
Issued across those 5 inspections
9Standard Health
21Life Safety Code
Severity of Citations
How serious were those 30 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 20 inspections in the current reporting window, 15 found no citations at all; inspectors issued 30 citations in total.
- Of those, 9 were standard health citations (quality of care) and 21 were related to the Life Safety Code (fire protection).
- The state logged 131 complaints about this facility; 23 led to on-site inspections.
- The state has 1 formal enforcement action (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
1464302N
County
Erie
Phone
(716) 773-5900
Operated By
2850 Grand Island Boulevard Operating Company, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
99%
Staff Flu Vaccination
93%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Department Criminal History Review
Standard Health Citation โ quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation โ quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation โ quality of care
Services Provided Meet Professional Standards
Standard Health Citation โ quality of care
Use Of Outside Resources
Standard Health Citation โ quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Fire Drills
Life Safety Code Citation โ NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Multiple Occupancies
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Other
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Fire Drills
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Means Of Egress Requirements - Other
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ quality of care
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 2026Above state average. This facility received 160.9 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (3.7 per 100 beds vs. 5.3 statewide).
Total Complaints
131
55,669 statewide
Per 100 Occupied Beds
160.9
57.4 state avg
On-Site Inspections
23
7,566 statewide
Citations Issued
3
3.7 per 100 beds ยท avg 5.3
Facility-Reported Incidents
86%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 0 |
| Quality of Care | 1 |
| Resident Rights | 4 |
| Total | 8 |
Enforcement & Fines
Jun 2016 โ May 20261 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 2, 2018
$2,000
Stipulation & Order #NH-19-006 ยท Signed January 16, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies