Citations Summary
Jun 2022 – May 202615 Inspections Conducted
8
No citations found
53% of all inspections
7
Resulted in citations
47% of all inspections
73 Total Citations — state avg: 41
Issued across those 7 inspections
50Standard Health
23Life Safety Code
Severity of Citations
How serious were those 73 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 15 inspections in the current reporting window, 8 found no citations at all; inspectors issued 73 citations in total.
- Of those, 50 were standard health citations (quality of care) and 23 were related to the Life Safety Code (fire protection).
- The state logged 262 complaints about this facility; 39 led to on-site inspections.
- The state has 9 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
1401341N
County
Erie
Phone
(716) 883-6782
Operated By
Delaware Operations Associates, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
92%
Staff Flu Vaccination
85%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Access/purchase Copies Of Records
Standard Health Citation — quality of care
▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Comprehensive Assessments & Timing
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Evacuation And Relocation Plan
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Smoke Detection
Life Safety Code Citation — NFPA requirements
Soiled Linen And Trash Containers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Antibiotic Stewardship Program
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Covid-19 Testing-residents & Staff
Standard Health Citation — quality of care
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
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 137.3 complaints per 100 beds vs. a statewide rate of 57.4. 19 citations resulted from those complaints (10.0 per 100 beds vs. 5.3 statewide).
Total Complaints
262
55,669 statewide
Per 100 Occupied Beds
137.3
57.4 state avg
On-Site Inspections
39
7,566 statewide
Citations Issued
19
10.0 per 100 beds · avg 5.3
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 1 |
| Other Services | 3 |
| Physical Environment | 2 |
| Quality of Care | 4 |
| Resident Rights | 6 |
| Total | 18 |
Enforcement & Fines
Jun 2016 – May 20269 enforcement actions totaling $68,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 12, 2025
$12,000
Stipulation & Order #NH-26-032 · Signed March 31, 2026
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
July 1, 2025
$8,000
Stipulation & Order #NH-26-007 · Signed January 8, 2026
Reason: Resident Rights
Reason: Resident Rights
October 18, 2022
$2,000
Stipulation & Order #NH-23-008 · Signed January 18, 2023
Reason: Quality of Care
Reason: Quality of Care
April 8, 2022
$2,000
Stipulation & Order #NH-22-112 · Signed July 22, 2022
Reason: Quality of Care
Reason: Quality of Care
July 20, 2021
$10,000
Stipulation & Order #NH-21-191 · Signed October 19, 2021
Reason: Quality of Care
Reason: Quality of Care
May 3, 2021
$6,000
Stipulation & Order #NH-21-239 · Signed December 10, 2021
Reason: Quality of Care
Reason: Quality of Care
April 30, 2020
$22,000
Stipulation & Order #NH-20-017 · Signed July 22, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
September 17, 2019
$2,000
Stipulation & Order #NH-19-057 · Signed December 11, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$4,000
Stipulation & Order #NH-17-039 · Signed July 11, 2017
Reason: Physical Environment
Reason: Physical Environment