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Inspection Reports for Brookdale Niagara

NY, 14120

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Inspection Report Summary

The most recent inspection on June 2, 2025, identified six deficiencies related to personnel sufficiency, admission and retention standards, resident services, and medication management. Earlier inspections showed a pattern of similar issues, including deficiencies in resident services and medication management, as well as environmental standards and disaster procedures in the September 19, 2024 relicensure inspection. Complaint investigations did not result in any substantiated complaints or enforcement actions, and fines or license suspensions were not listed in the available reports. Prior reports noted ongoing challenges with staffing and resident care services, with plans of correction approved or under review. The facility’s inspection history reflects recurring areas of concern without a clear trend of improvement or worsening over time.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 3.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025
Unclassified
State average

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 6 Date: Jun 2, 2025
Visit Reason
Six violations identified including personnel sufficiency, admission and retention standards, resident services, and medication management; plan/notice of correction under review.
Findings
Six violations identified including personnel sufficiency, admission and retention standards, resident services, and medication management; plan/notice of correction under review.
Deficiencies (6)
488.9 (a) (1) — Personnel
1001.7 (h) (1) — Admission and retention standards
1001.7 (k) (2) — Admission and retention standards
1001.10 (i) (5-8) — Resident services
1001.10 (j) (1) — Resident services
1001.10 (l)(1) — Medication management

Inspection Report

Relicensure
Capacity: 60 Deficiencies: 8 Date: Sep 19, 2024
Visit Reason
Eight violations including provider responsibilities, environmental standards, disaster procedures, admission and retention, resident services, and medication management; plan/notice of correction under review.
Findings
Eight violations including provider responsibilities, environmental standards, disaster procedures, admission and retention, resident services, and medication management; plan/notice of correction under review.
Deficiencies (8)
402.9(a)(1) — Responsibilities of providers; required notifications
488.3 (f) (2) — General provisions
488.11 (d) (1) — Environmental standards
488.12 (l) — Disaster and emergency procedures
1001.7 (h) (1) — Admission and retention standards
1001.10 (i) (5-8) — Resident services
1001.10 (l)(1) — Medication management
1001.10 (l) (2) — Medication management

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Aug 21, 2023
Visit Reason
One violation related to resident services; plan/notice of correction approved.
Findings
One violation related to resident services; plan/notice of correction approved.
Deficiencies (1)
1001.10 (i) (5-8) — Resident services

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Dec 1, 2022
Visit Reason
Four violations involving resident services, medication management, and personnel; plan/notice of correction approved.
Findings
Four violations involving resident services, medication management, and personnel; plan/notice of correction approved.
Deficiencies (4)
488.7 (b) (1) (i) — Resident services
1001.10 (i) (5-8) — Resident services
1001.10 (l) (2) — Medication management
1001.11 (c) (2) (i-iv) — Personnel

Inspection Report

Capacity: 60 Deficiencies: 0 Date: Sep 9, 2021
Visit Reason
No violations identified; plan/notice of correction not required.
Findings
No violations identified; plan/notice of correction not required.

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