Citations Summary
Jun 2022 – May 202619 Inspections Conducted
16
No citations found
84% of all inspections
3
Resulted in citations
16% of all inspections
30 Total Citations — state avg: 41
Issued across those 3 inspections
17Standard Health
13Life 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 19 inspections in the current reporting window, 16 found no citations at all; inspectors issued 30 citations in total.
- Of those, 17 were standard health citations (quality of care) and 13 were related to the Life Safety Code (fire protection).
- The state logged 148 complaints about this facility; 24 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
0658301N
County
Chautauqua
Phone
(716) 483-5000
Operated By
The Gerry Homes, Inc (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
93%
Staff Flu Vaccination
94%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
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
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Corridors - Construction Of Walls
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
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Treatment/srvcs Mental/psychoscial Concerns
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
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 133.3 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (3.6 per 100 beds vs. 5.3 statewide).
Total Complaints
148
55,669 statewide
Per 100 Occupied Beds
133.3
57.4 state avg
On-Site Inspections
24
7,566 statewide
Citations Issued
4
3.6 per 100 beds · avg 5.3
Facility-Reported Incidents
83%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 0 |
| Quality of Care | 3 |
| Resident Rights | 3 |
| Total | 9 |