Citations Summary
Jun 2022 โ May 202620 Inspections Conducted
17
No citations found
85% of all inspections
3
Resulted in citations
15% of all inspections
31 Total Citations โ state avg: 41
Issued across those 3 inspections
14Standard Health
17Life Safety Code
Severity of Citations
How serious were those 31 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 20 inspections in the current reporting window, 17 found no citations at all; inspectors issued 31 citations in total.
- Of those, 14 were standard health citations (quality of care) and 17 were related to the Life Safety Code (fire protection).
- The state logged 140 complaints about this facility; 24 led to on-site inspections.
- The state has 3 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
0427303N
County
Cattaraugus
Phone
(716) 532-5700
Operated By
GORNC Operating, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
94%
Staff Flu Vaccination
60%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Bedrails
Standard Health Citation โ quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Fire Drills
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Portable Space Heaters
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Antibiotic Stewardship Program
Standard Health Citation โ quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ quality of care
Parenteral/iv Fluids
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
Treatment/srvcs Mental/psychoscial Concerns
Standard Health Citation โ quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Evacuation And Relocation Plan
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Hvac
Life Safety Code Citation โ NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation โ NFPA requirements
Smoke Detection
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation โ quality of care
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 2026Above state average. This facility received 100.6 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (2.9 per 100 beds vs. 5.3 statewide).
Total Complaints
140
55,669 statewide
Per 100 Occupied Beds
100.6
57.4 state avg
On-Site Inspections
24
7,566 statewide
Citations Issued
4
2.9 per 100 beds ยท avg 5.3
Facility-Reported Incidents
65%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 1 |
| Total | 7 |
Enforcement & Fines
Jun 2016 โ May 20263 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 25, 2023
$2,000
Stipulation & Order #NH-24-025 ยท Signed April 1, 2024
Reason: Quality of Care
Reason: Quality of Care
December 4, 2020
$6,000
Stipulation & Order #NH-21-152 ยท Signed August 23, 2021
Reason: Quality of Care
Reason: Quality of Care
June 26, 2019
$10,000
Stipulation & Order #NH-19-044 ยท Signed October 15, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies