Citations Summary

Jun 2022 โ€“ May 2026
10 Total Citations โ€” state avg: 41
Issued in the reporting period
4Standard Health
6Life Safety Code
Severity of Citations
How serious were those 10 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period
In plain language
  • Across 4 inspections in the current reporting window; inspectors issued 10 citations in total.
  • Of those, 4 were standard health citations (quality of care) and 6 were related to the Life Safety Code (fire protection).
  • 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
1435304N
County
Erie
Phone
(716) 662-5001
Operated By
Orchard Park CCRC, Inc. (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
87%
Staff Flu Vaccination
91%

Inspection Details

Surveys with Citations Only
March 7, 2025 CERTIFICATION Survey 1 Health 2 LSC
โ–ผ
Standard Health Citations
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 2, 2025
Life Safety Code Citations
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 21, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 21, 2025
October 27, 2023 CERTIFICATION Survey 0 Health 3 LSC
โ–ผ
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 14, 2023
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 14, 2023
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 14, 2023
December 12, 2022 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
July 1, 2022 CERTIFICATION Survey 2 Health 1 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 25, 2022
Infection Control
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope July 25, 2022
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 25, 2022
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 2026
Below state average. This facility received 0.0 complaints per 100 beds vs. a statewide rate of 57.4. 0 citations resulted from those complaints (0.0 per 100 beds vs. 5.3 statewide).
Total Complaints
0
55,669 statewide
Per 100 Occupied Beds
0.0
57.4 state avg
On-Site Inspections
0
7,566 statewide
Citations Issued
0
0.0 per 100 beds ยท avg 5.3
Facility-Reported Incidents
0%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment0
Quality of Care0
Resident Rights0
Total0

Enforcement & Fines

Jun 2016 โ€“ May 2026
1 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 13, 2021
$10,000
Stipulation & Order #NH-21-044 ยท Signed March 4, 2021
Reason: Quality of Care