Citations Summary
Jun 2022 – May 20267 Inspections Conducted
4
No citations found
57% of all inspections
3
Resulted in citations
43% of all inspections
32 Total Citations — state avg: 41
Issued across those 3 inspections
13Standard Health
19Life Safety Code
Severity of Citations
How serious were those 32 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 7 inspections in the current reporting window, 4 found no citations at all; inspectors issued 32 citations in total.
- Of those, 13 were standard health citations (quality of care) and 19 were related to the Life Safety Code (fire protection).
- The state logged 48 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
3101307N
County
Niagara
Phone
(716) 434-6361
Operated By
Maximus 909 Operations LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
99%
Staff Flu Vaccination
91%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Resident Bed
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Development Of Ep Policies And Procedures
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
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
Names And Contact Information
Life Safety Code Citation — NFPA requirements
Plan Based On All Hazards Risk Assessment
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Smoke Detection
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
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
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 2026Above state average. This facility received 62.2 complaints per 100 beds vs. a statewide rate of 57.4. 1 citations resulted from those complaints (1.3 per 100 beds vs. 5.3 statewide).
Total Complaints
48
55,669 statewide
Per 100 Occupied Beds
62.2
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
1
1.3 per 100 beds · avg 5.3
Facility-Reported Incidents
88%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 3 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 3 |
| Total | 11 |