Citations Summary
Jun 2022 – May 202611 Inspections Conducted
6
No citations found
55% of all inspections
5
Resulted in citations
45% of all inspections
63 Total Citations — state avg: 41
Issued across those 5 inspections
24Standard Health
39Life Safety Code
Severity of Citations
How serious were those 63 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 11 inspections in the current reporting window, 6 found no citations at all; inspectors issued 63 citations in total.
- Of those, 24 were standard health citations (quality of care) and 39 were related to the Life Safety Code (fire protection).
- The state logged 154 complaints about this facility; 14 led to on-site inspections.
- The state has 6 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
1401343N
County
Erie
Phone
(716) 885-3838
Operated By
EN Operations Aquisitions, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
83%
Staff Flu Vaccination
38%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Dialysis
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
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
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
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
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
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
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Ep Program Patient Population
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
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Roles Under A Waiver Declared By Secretary
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Out Of Service
Life Safety Code Citation — NFPA requirements
Sprinkler System - Out Of Service
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 185.2 complaints per 100 beds vs. a statewide rate of 57.4. 13 citations resulted from those complaints (15.6 per 100 beds vs. 5.3 statewide).
Total Complaints
154
55,669 statewide
Per 100 Occupied Beds
185.2
57.4 state avg
On-Site Inspections
14
7,566 statewide
Citations Issued
13
15.6 per 100 beds · avg 5.3
Facility-Reported Incidents
60%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 4 |
| Physical Environment | 4 |
| Quality of Care | 3 |
| Resident Rights | 3 |
| Total | 16 |
Enforcement & Fines
Jun 2016 – May 20266 enforcement actions totaling $40,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 11, 2022
$12,000
Stipulation & Order #NH-22-122 · Signed August 9, 2022
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
November 5, 2021
$2,000
Stipulation & Order #NH-22-085 · Signed May 25, 2022
Reason: Quality of Care
Reason: Quality of Care
December 23, 2020
$8,000
Stipulation & Order #NH-21-047 · Signed March 13, 2021
Reason: Quality of Care
Reason: Quality of Care
January 24, 2017
$6,000
Stipulation & Order #NH-17-038 · Signed June 19, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
June 17, 2013
$10,000
Stipulation & Order #NH-16-187 · Signed August 9, 2017
Reason: Quality of Care
Reason: Quality of Care
Date not yet available
$2,000
Stipulation & Order #NH-18-042 · Signed September 24, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies