Citations Summary
Jun 2022 โ May 202617 Inspections Conducted
9
No citations found
53% of all inspections
8
Resulted in citations
47% of all inspections
32 Total Citations โ state avg: 41
Issued across those 8 inspections
21Standard Health
11Life Safety Code
Severity of Citations
How serious were those 32 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 17 inspections in the current reporting window, 9 found no citations at all; inspectors issued 32 citations in total.
- Of those, 21 were standard health citations (quality of care) and 11 were related to the Life Safety Code (fire protection).
- The state logged 56 complaints about this facility; 21 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
3102307N
County
Niagara
Phone
(716) 278-4578
Operated By
Niagara Falls Memorial Home Co, Inc (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
94%
Staff Flu Vaccination
95%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Bedrails
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation โ quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation โ quality of care
Services Provided Meet Professional Standards
Standard Health Citation โ quality of care
Treatment/devices To Maintain Hearing/vision
Standard Health Citation โ quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
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
โผ
Standard Health Citations
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Develop/implement Abuse/neglect Policies
Standard Health Citation โ quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation โ quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation โ quality of care
Self-determination
Standard Health Citation โ quality of care
Life Safety Code Citations
Building Rehabilitation
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
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
Portable Fire Extinguishers
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
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 2026Below state average. This facility received 53.0 complaints per 100 beds vs. a statewide rate of 57.4. 6 citations resulted from those complaints (5.7 per 100 beds vs. 5.3 statewide).
Total Complaints
56
55,669 statewide
Per 100 Occupied Beds
53.0
57.4 state avg
On-Site Inspections
21
7,566 statewide
Citations Issued
6
5.7 per 100 beds ยท avg 5.3
Facility-Reported Incidents
75%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 5 |
| Quality of Care | 3 |
| Resident Rights | 3 |
| Total | 13 |
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.
March 8, 2023
$2,000
Stipulation & Order #NH-23-063 ยท Signed June 26, 2023
Reason: Resident Rights
Reason: Resident Rights