Citations Summary
Jun 2022 – May 202621 Inspections Conducted
19
No citations found
90% of all inspections
2
Resulted in citations
10% of all inspections
9 Total Citations — state avg: 41
Issued across those 2 inspections
7Standard Health
2Life Safety Code
Severity of Citations
How serious were those 9 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 21 inspections in the current reporting window, 19 found no citations at all; inspectors issued 9 citations in total.
- Of those, 7 were standard health citations (quality of care) and 2 were related to the Life Safety Code (fire protection).
- The state logged 139 complaints about this facility; 26 led to on-site inspections.
- The state has 2 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
3622304N
County
Orleans
Phone
(585) 798-4100
Operated By
ORRNC Holdings, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
92%
Staff Flu Vaccination
98%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Binding Arbitration Agreements
Standard Health Citation — quality of care
Facility Hiring And Use Of Nurse Aide
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
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 2026Above state average. This facility received 95.1 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (1.4 per 100 beds vs. 5.3 statewide).
Total Complaints
139
55,669 statewide
Per 100 Occupied Beds
95.1
57.4 state avg
On-Site Inspections
26
7,566 statewide
Citations Issued
2
1.4 per 100 beds · avg 5.3
Facility-Reported Incidents
77%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 2 |
| Resident Rights | 0 |
| Total | 6 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $32,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 2, 2021
$22,000
Stipulation & Order #NH-21-089 · Signed May 6, 2021
Reason: Quality of Care
Reason: Quality of Care
April 25, 2016
$10,000
Stipulation & Order #NH-16-180 · Signed July 6, 2016
Reason: Quality of Care
Reason: Quality of Care