Citations Summary

Jun 2022 โ€“ May 2026
21 Total Citations โ€” state avg: 41
Issued in the reporting period
8Standard Health
13Life Safety Code
Severity of Citations
How serious were those 21 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period
In plain language
  • Across 3 inspections in the current reporting window; inspectors issued 21 citations in total.
  • Of those, 8 were standard health citations (quality of care) and 13 were related to the Life Safety Code (fire protection).
  • The state logged 34 complaints about this facility; 6 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
0228305N
County
Allegany
Phone
(585) 593-4400
Operated By
Wellsville Manor, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
82%
Staff Flu Vaccination
90%

Inspection Details

Surveys with Citations Only
June 14, 2024 CERTIFICATION/COMPLAINT Survey 5 Health 10 LSC
โ–ผ
Standard Health Citations
Grievances
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 12, 2024
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 12, 2024
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 12, 2024
Qualified Dietary Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 12, 2024
Right To Forms Of Communication W/ Privacy
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread August 12, 2024
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Electrical Systems - Other
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Fundamentals - Building System Categories
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Hvac
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Smoke Detection
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 13, 2024
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 13, 2024
May 9, 2024 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 1, 2024
July 22, 2022 CERTIFICATION/COMPLAINT Survey 2 Health 3 LSC
โ–ผ
Standard Health Citations
Physician Visits-frequency/timeliness/alt Npp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 16, 2022
Self-determination
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 16, 2022
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 16, 2022
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 16, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 16, 2022
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 2026
Below state average. This facility received 30.8 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (1.8 per 100 beds vs. 5.3 statewide).
Total Complaints
34
55,669 statewide
Per 100 Occupied Beds
30.8
57.4 state avg
On-Site Inspections
6
7,566 statewide
Citations Issued
2
1.8 per 100 beds ยท avg 5.3
Facility-Reported Incidents
35%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services1
Other Services2
Physical Environment1
Quality of Care2
Resident Rights3
Total9

Enforcement & Fines

Jun 2016 โ€“ May 2026