Citations Summary
Jun 2022 – May 202615 Inspections Conducted
11
No citations found
73% of all inspections
4
Resulted in citations
27% of all inspections
32 Total Citations — state avg: 41
Issued across those 4 inspections
11Standard Health
21Life 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 15 inspections in the current reporting window, 11 found no citations at all; inspectors issued 32 citations in total.
- Of those, 11 were standard health citations (quality of care) and 21 were related to the Life Safety Code (fire protection).
- The state logged 42 complaints about this facility; 24 led to on-site inspections.
- The state has 3 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
3101308N
County
Niagara
Phone
(716) 434-6324
Operated By
104 Old Niagara Road Operating Company, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
86%
Staff Flu Vaccination
77%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Means Of Egress Requirements - Other
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
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
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 2026Below state average. This facility received 41.6 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (4.0 per 100 beds vs. 5.3 statewide).
Total Complaints
42
55,669 statewide
Per 100 Occupied Beds
41.6
57.4 state avg
On-Site Inspections
24
7,566 statewide
Citations Issued
4
4.0 per 100 beds · avg 5.3
Facility-Reported Incidents
55%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 1 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 1 |
| Total | 5 |
Enforcement & Fines
Jun 2016 – May 20263 enforcement actions totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 6, 2023
$2,000
Stipulation & Order #NH-23-103 · Signed October 26, 2023
Reason: Infection Control
Reason: Infection Control
July 30, 2021
$2,000
Stipulation & Order #NH-22-019 · Signed January 20, 2022
Reason: Quality of Care
Reason: Quality of Care
October 28, 2019
$10,000
Stipulation & Order #NH-20-010 · Signed February 25, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies