Willow Creek

Overview of Willow Creek

Willow Creek is a small, quiet assisted living center in rural Cattaraugus County, at 4460 Union Hill Road in Hinsdale, New York. It maintains a special license named an Assisted Living Program (ALP) from the New York State Department of Health. ALP homes aid people who require more support than a basic assisted living home but do not yet require full nursing home care. Willow Creek is prepared to manage these higher medical needs.

Underwood Gardens, LLC, operates the home, which features 32 beds in shared rooms. Staff members are there 24 hours a day to assist you. A registered nurse oversees every person’s care plan.

Residents may access physical, occupational, and speech therapy right at the facility. A professional dietitian plans every meal and snack. The program also provides daily health checks and assistance with everyday tasks like bathing, dressing, and getting ready for the day.

There are many fun activities to join, including crafts, exercise classes, trips, games, and parties. Residents may even join a volunteer group. Since Hinsdale is in a quiet, rural area, there is no public transit. Families will need to use their own cars to visit or take their loved ones on fun outings.

New York state officials inspect the facility to ensure it follows safety rules. In the past, these state reviews have checked on things like care planning, office paperwork, and the training of the staff. This ensures everyone is doing their job correctly and safely at all times.

For families in Cattaraugus County who need extra medical support, Willow Creek is a great choice. With its special license, various therapies, healthy meals, and around-the-clock care, it offers a high level of support in a region where there are not many other options available.

Facility Direct Line (716) 557-2322

By The Numbers

Community insights.

Bed count 32

Smaller home · May offer a more intimate, personalized care environment.

Walk Score

5 / 100

About this community

Facility TypeAdult Home

StatusActive

CountyCattaraugus

License Number040-F-032

State License TypesAssisted Living Program (ALP)

Owner NameUnderwood Gardens, LLC

Emergency SystemsYes

Rehabilitation Services

Nursing Services

Pets not allowed

Admission CriteriaMedically eligible for nursing home placement but does not require continual nursing care.

HousekeepingYes

Linen ServiceYes

Housekeeping

Laundry

Volunteer Program

Inspection Scorecard This scorecard compares key inspection, violation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. NY average

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	12	9	This facility has had 33% more total inspections than the New York average (12 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more
Inspections with violations Inspections that resulted in at least one regulatory violation.	10	4	This facility has 150% more inspections with violations than a typical New York assisted living residence (10 vs. NY avg 4).↑ 150% worse
Inspection violation rate Percentage of inspections that resulted in at least one violation.	83%	57%	This facility has 26 percentage points higher inspection violation rate than a typical New York assisted living residence (83% vs. NY avg 57%).↑ 26% worse Rank #280 / 323 Inspection violation rate — State benchmarked This home is ranked 280th out of 323 homes we track in New York for % of inspections with violations. Shows this facility's % of inspections with violations compared to the New York average among 323 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Inspections with violations Inspections that uncovered at least one regulatory violation.	10	4	This facility has 150% more inspections with violations than a typical New York assisted living residence (10 vs. NY avg 4).↑ 150% worse
Inspection violation rate Percentage of inspections that resulted in at least one violation.	83%	57%	This facility has 26 percentage points higher inspection violation rate than a typical New York assisted living residence (83% vs. NY avg 57%).↑ 26% worse Rank #280 / 323 Inspection violation rate — State benchmarked This home is ranked 280th out of 323 homes we track in New York for % of inspections with violations. Shows this facility's % of inspections with violations compared to the New York average among 323 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.	0	6	This facility has had 100% fewer complaint visits than the New York average (0 vs. NY avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer Rank #1 / 323 Complaint visits — State benchmarked This home is ranked 1st out of 323 homes we track in New York for complaint-related visits. Shows this facility's complaint-related visits compared to the New York average among 323 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

Violations Violations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total violations Formal regulatory issues recorded by inspectors across all inspection types.	28	18	This facility has 56% more total violations than a typical New York assisted living residence (28 vs. NY avg 18).↑ 56% worse Rank #285 / 323 Total violations — State benchmarked This home is ranked 285th out of 323 homes we track in New York for violations. Shows this facility's violations compared to the New York average among 323 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Violations per inspection Average violations per inspection.	2.3	2.23	This facility has 3% more violations per inspection than a typical New York assisted living residence (2.3 vs. NY avg 2.23).↑ 3% worse Rank #250 / 323 Violations per inspection — State benchmarked This home is ranked 250th out of 323 homes we track in New York for violations per inspection. Shows this facility's violations per inspection compared to the New York average among 323 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

Violation breakdown

2 Admission Standards NY avg: 0.5

1 Environmental Standards NY avg: 1.7

1 General Requirements NY avg: 0.1

1 Operating Certificate NY avg: 0.2

5 Records and Reports NY avg: 2.0

16 Resident Services NY avg: 2.9

2 Retention and Standards NY avg: 0.8

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	8	79	This facility has 90% fewer total complaints than a typical New York assisted living residence (8 vs. NY avg 79).↓ 90% better
Complaints per year Average complaints per year since 2026.	8	79	This facility has 90% fewer complaints per year than a typical New York assisted living residence (8 vs. NY avg 79).↓ 90% better

Show Inspection Reports

Total Cases 54

Active Cases 1

Closed 53

Since 2010

Most Recent 2024

View full lawsuit report

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Compare Assisted Living around New York State

Info below is compiled from the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


Brooklyn Adult Care Center	AL	Brooklyn (Cypress Hills)	210 Facility 210 NY AVG 160 Rank #150 / 736	No	90 Facility 90 NY AVG 64 Rank #260 / 1,150	Brooklyn Adult Care Center, LLC	14	21% Facility 21% NY AVG 56.5% Rank #55 / 323	14 Facility 14 NY AVG 6 Rank #301 / 323	5 Facility 5 NY AVG 14.5 Rank #116 / 323	0.4 Facility 0.4 NY AVG 2.2 Rank #65 / 323	Private / Semi-Private Rooms	A+
Atria Riverdale	AL IL MC	The Bronx (Riverdale)	204 Facility 204 NY AVG 160 Rank #157 / 736	Yes	95 Facility 95 NY AVG 64 Rank #131 / 1,150	Atr New York Lh, Inc	6	50% Facility 50% NY AVG 56.5% Rank #164 / 323	2 Facility 2 NY AVG 6 Rank #145 / 323	3 Facility 3 NY AVG 14.5 Rank #86 / 323	0.5 Facility 0.5 NY AVG 2.2 Rank #73 / 323	Studio / 1 Bed / 2 Bed	A+
The Waterford on the Bay Senior Living	AL MC	Brooklyn (Sheepshead Bay)	200 Facility 200 NY AVG 160 Rank #164 / 736	No	78 Facility 78 NY AVG 64 Rank #492 / 1,150	The Palm Beach Home For Adults, LLC	5	20% Facility 20% NY AVG 56.5% Rank #52 / 323	3 Facility 3 NY AVG 6 Rank #169 / 323	1 Facility 1 NY AVG 14.5 Rank #31 / 323	0.2 Facility 0.2 NY AVG 2.2 Rank #34 / 323	Deluxe, Private, Semi-Private	-
Sunrise of Holbrook	AL MC	Holbrook (Town Of Islip)	109 Facility 109 NY AVG 160 Rank #475 / 736	Yes	40 Facility 40 NY AVG 64 Rank #877 / 1,150	Gwc - Holbrook, Inc	5	20% Facility 20% NY AVG 56.5% Rank #52 / 323	3 Facility 3 NY AVG 6 Rank #169 / 323	1 Facility 1 NY AVG 14.5 Rank #31 / 323	0.2 Facility 0.2 NY AVG 2.2 Rank #34 / 323	Studio / 1 Bed / 2 Bed	A-
Willow Creek	AL	Hinsdale	32 Facility 32 NY AVG 160 Rank #718 / 736	No	5 Facility 5 NY AVG 64 Rank #1,119 / 1,150	-	12	83% Facility 83% NY AVG 56.5% Rank #280 / 323	0 Facility 0 NY AVG 6 Rank #1 / 323	28 Facility 28 NY AVG 14.5 Rank #285 / 323	2.3 Facility 2.3 NY AVG 2.2 Rank #250 / 323	-	-

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Who is the owner of Willow Creek?

Willow Creek is legally operated by Underwood Gardens, LLC.

Is Willow Creek in a walkable area?

Willow Creek has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Willow Creek?

According to NY state health department records, Willow Creek's license number is 040-F-032.

Are pets allowed at Willow Creek?

No, Willow Creek has a no-pet policy.

How many beds does Willow Creek have?

Willow Creek has 32 beds.

Has Willow Creek had any violations?

Willow Creek has had 28 reported violations since 2026 according to records from New York State Department of Health (NYSDOH).

Are there photos of Willow Creek?

Yes — there are 2 photos of Willow Creek in the photo gallery on this page.

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