Citations Summary
Jun 2022 – May 202612 Inspections Conducted
8
No citations found
67% of all inspections
4
Resulted in citations
33% of all inspections
30 Total Citations — state avg: 41
Issued across those 4 inspections
18Standard Health
12Life Safety Code
Severity of Citations
How serious were those 30 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 12 inspections in the current reporting window, 8 found no citations at all; inspectors issued 30 citations in total.
- Of those, 18 were standard health citations (quality of care) and 12 were related to the Life Safety Code (fire protection).
- The state logged 109 complaints about this facility; 17 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
0226303N
County
Allegany
Phone
(716) 567-2207
Operated By
HORNC Operating, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
94%
Staff Flu Vaccination
99%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Facility Hiring And Use Of Nurse Aide
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Exit Signage
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 Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
Bedrooms Assure Full Visual Privacy
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
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
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 131.8 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (3.6 per 100 beds vs. 5.3 statewide).
Total Complaints
109
55,669 statewide
Per 100 Occupied Beds
131.8
57.4 state avg
On-Site Inspections
17
7,566 statewide
Citations Issued
3
3.6 per 100 beds · avg 5.3
Facility-Reported Incidents
70%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 2 |
| Resident Rights | 4 |
| Total | 12 |
Enforcement & Fines
Jun 2016 – May 20261 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 7, 2024
$10,000
Stipulation & Order #NH-25-018 · Signed March 19, 2025
Reason: Quality of Care
Reason: Quality of Care