Inspection Reports for Canterbury Woods

725 Renaissance Drive, Williamsville, NY, 14221

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Inspection Report Summary

The most recent inspection on January 8, 2025, identified deficiencies in health and life safety areas including abuse and neglect, infection control, nurse staffing, pressure ulcer treatment, and fire safety, all of which were corrected by February 2025. Earlier inspections showed a pattern of similar issues involving infection control, abuse and neglect policies, nurse staffing, and life safety code compliance, with all cited deficiencies addressed promptly. Inspectors noted recurring themes around abuse prevention, infection control, and life safety system maintenance. Complaint investigations did not result in substantiated findings, and no fines or enforcement actions were listed in the available reports. The facility’s record suggests ongoing attention to these areas with corrections made after each inspection.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2023
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 9 Date: Jan 8, 2025

Visit Reason
Inspection identified 6 health and 3 life safety deficiencies including abuse and neglect, infection control, administration, nurse staffing, pressure ulcer treatment, and life safety code issues. All deficiencies were corrected by February 2025.

Findings
Inspection identified 6 health and 3 life safety deficiencies including abuse and neglect, infection control, administration, nurse staffing, pressure ulcer treatment, and life safety code issues. All deficiencies were corrected by February 2025.

Deficiencies (9)
Free from abuse and neglect
Infection prevention & control
Organization and administration
Posted nurse staffing information
Reporting of alleged violations
Treatment/svcs to prevent/heal pressure ulcer
Egress doors
Fire alarm system - testing and maintenance
Subdivision of building spaces - smoke barrie

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Aug 7, 2023

Visit Reason
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Findings
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 8 Date: Jun 2, 2023

Visit Reason
Complaint survey identified 3 health and 5 life safety deficiencies including abuse/neglect policies, food sanitation, general requirements, and multiple life safety code issues. All deficiencies were corrected by July 2023.

Findings
Complaint survey identified 3 health and 5 life safety deficiencies including abuse/neglect policies, food sanitation, general requirements, and multiple life safety code issues. All deficiencies were corrected by July 2023.

Deficiencies (8)
Develop/implement abuse/neglect policies
Food procurement,store/prepare/serve-sanitary
General requirements
Electrical systems - essential electric syste
Gas equipment - cylinder and container storag
Illumination of means of egress
Portable fire extinguishers
Sprinkler system - maintenance and testing

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 30, 2023

Visit Reason
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Findings
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 23, 2023

Visit Reason
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Findings
Covid-19 survey found one health deficiency related to reporting to the national health safety network with widespread scope and level 2 severity.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Annual Inspection
Capacity: 60 Deficiencies: 4 Date: Dec 30, 2021

Visit Reason
Certification survey identified 3 health and 1 life safety deficiencies including ADL care, infection control, nutritive value, and electrical equipment testing. All deficiencies were corrected by February 2022.

Findings
Certification survey identified 3 health and 1 life safety deficiencies including ADL care, infection control, nutritive value, and electrical equipment testing. All deficiencies were corrected by February 2022.

Deficiencies (4)
ADL care provided for dependent residents
Infection control
Nutritive value/appear, palatable/prefer temp
Electrical equipment - testing and maintenanc

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