Citations Summary
Jun 2022 – May 202614 Inspections Conducted
9
No citations found
64% of all inspections
5
Resulted in citations
36% of all inspections
14 Total Citations — state avg: 41
Issued across those 5 inspections
8Standard Health
6Life Safety Code
Severity of Citations
How serious were those 14 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 14 inspections in the current reporting window, 9 found no citations at all; inspectors issued 14 citations in total.
- Of those, 8 were standard health citations (quality of care) and 6 were related to the Life Safety Code (fire protection).
- The state logged 65 complaints about this facility; 18 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
3103000N
County
Niagara
Phone
(716) 694-4500
Operated By
Kaleida Health (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
98%
Staff Flu Vaccination
80%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
General Requirements - Other
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
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
▼
Standard Health Citations
Infection Control
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
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 2026Above state average. This facility received 86.8 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (4.0 per 100 beds vs. 5.3 statewide).
Total Complaints
65
55,669 statewide
Per 100 Occupied Beds
86.8
57.4 state avg
On-Site Inspections
18
7,566 statewide
Citations Issued
3
4.0 per 100 beds · avg 5.3
Facility-Reported Incidents
80%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 2 |
| Total | 7 |
Enforcement & Fines
Jun 2016 – 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.
October 3, 2025
$2,000
Stipulation & Order #NH-25-041 · Signed July 30, 2025
Reason: Quality of Care
Reason: Quality of Care