Citations Summary
Jun 2022 – May 202614 Total Citations — state avg: 41
Issued in the reporting period
10Standard Health
4Life 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 4 inspections in the current reporting window, 1 found no citations at all; inspectors issued 14 citations in total.
- Of those, 10 were standard health citations (quality of care) and 4 were related to the Life Safety Code (fire protection).
- The state logged 5 complaints about this facility; 1 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
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
3622000N
County
Orleans
Phone
(585) 798-2000
Operated By
Orleans Community Health (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
100%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Infection Control
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Alarm - Control Functions
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Out Of Service
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
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 2026Below state average. This facility received 17.3 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
5
55,669 statewide
Per 100 Occupied Beds
17.3
57.4 state avg
On-Site Inspections
1
7,566 statewide
Citations Issued
0
0.0 per 100 beds · avg 5.3
Facility-Reported Incidents
60%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 0 |
| Resident Rights | 1 |
| Total | 2 |