Inspection Reports for
Elderwood at Lockport
104 Old Niagara Road, Lockport, NY, 14094
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Inspection Report — Mar 13, 2026
Complaint Investigation State
Date: Mar 13, 2026
Visit Reason
State-compiled facility profile showing 15 inspections from 2022 to 2026 with citation and enforcement history.
Complaint Details
The state logged 42 complaints about this facility; 24 led to on-site inspections. Four citations resulted from those complaints.
Findings
Across 15 inspections, 11 had no citations while 4 resulted in 32 total citations, including standard health and Life Safety Code violations. The facility had 42 complaints with 24 on-site inspections and 3 enforcement actions totaling $14,000 in fines.
Citations (22)
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices.
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents.
Standard Health Citation — quality of care: Infection Prevention & Control.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste.
Life Safety Code Citation — NFPA requirements: Fire Drills.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing.
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents.
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: Posted Nurse Staffing Information.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights.
Standard Health Citation — quality of care: Sufficient Nursing Staff.
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 Alarm System - Testing And Maintenance.
Life Safety Code Citation — NFPA requirements: Gas Equipment - Cylinder And Container Storag.
Life Safety Code Citation — NFPA requirements: Means Of Egress - General.
Life Safety Code Citation — NFPA requirements: Means Of Egress Requirements - Other.
Life Safety Code Citation — NFPA requirements: Portable Fire Extinguishers.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie.
Standard Health Citation — quality of care: Reporting - National Health Safety Network.
Report Facts
Inspections on page: 15
Total violations/deficiencies cited: 32
Inspections with violations: 4
Inspections without violations: 11
Total complaints: 42
On-site complaint inspections: 24
Citations from complaints: 4
Enforcement actions: 3
Total fines: 14000
Inspection Report — May 2, 2025
Routine CMS
Date: May 2, 2025
Visit Reason
The inspection was a Standard survey conducted to assess compliance with care and infection prevention regulations at the nursing home.
Findings
The facility failed to ensure that residents unable to perform activities of daily living received necessary grooming assistance, specifically for one resident with unwanted facial hair. Additionally, the facility did not maintain an effective infection prevention and control program, as staff failed to wear gowns during incontinent care for a resident with ESBL infection.
Citations (2)
F 0677: The facility did not provide adequate care and assistance for activities of daily living, resulting in one resident having visible unwanted facial hair despite policies requiring shaving on shower days or when visible hair is noticed.
F 0880: The facility failed to implement an infection prevention and control program by not ensuring staff wore gowns during incontinent care for a resident with ESBL infection, risking cross contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Colony count: 100000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #1 | Certified Nurse Aide | Interviewed regarding grooming care and shaving practices for Resident #6 |
| Certified Nurse Aide #2 | Certified Nurse Aide | Interviewed regarding shaving schedule and practices for Resident #6 |
| Registered Nurse #1 | Unit Manager | Interviewed about shaving policies for residents |
| Registered Nurse #2 | Registered Nurse | Interviewed about shaving practices for residents |
| Director of Nursing | Director of Nursing | Interviewed about shaving responsibilities and infection control expectations |
| Certified Nurse Assistant #3 | Certified Nurse Assistant | Observed and interviewed regarding gown use during incontinent care for Resident #54 |
| Certified Nurse Assistant #4 | Certified Nurse Assistant | Observed and interviewed regarding gown use during incontinent care for Resident #54 |
| Registered Nurse Unit Manager #3 | Registered Nurse Unit Manager | Interviewed about infection control expectations for Resident #54 |
| Assistant Director of Nursing/Infection Preventionist | Assistant Director of Nursing/Infection Preventionist | Provided infection control policies and interviewed about gown use requirements |
| Physician #1 | Physician | Interviewed about expectations for staff gown and glove use during incontinent care |
Inspection Report — Jun 6, 2023
Complaint Investigation CMS
Date: Jun 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on allegations regarding resident dignity, assistance with activities of daily living, staffing sufficiency, infection control, and medication administration at Elderwood at Lockport.
Complaint Details
The complaint investigation (NY00316113) was triggered by allegations that the facility failed to provide dignified care, adequate assistance with ADLs, sufficient staffing, proper infection control, and complete medication administration.
Findings
The facility failed to ensure residents were treated with dignity, received adequate assistance with toileting and personal hygiene, maintained sufficient nursing staff to meet resident needs, and implemented proper infection control practices. Additionally, medication administration was incomplete on one evening shift and nurse staffing information was not posted correctly.
Citations (5)
F 0550: The facility did not ensure Resident #66 was treated with respect and dignity by a Certified Nurse Aide during morning care, including inappropriate staff comments.
F 0677: The facility failed to provide necessary assistance with activities of daily living, including toileting and showering, for Residents #39, #74, and #101 as per their care plans.
F 0725: The facility did not provide enough nursing staff daily to meet resident needs, resulting in delayed call light responses, incomplete toileting/incontinence care, unmade beds, and missed medication administration on the East Unit evening shift of 6/4/23.
F 0732: The facility did not post daily nurse staffing information including resident census as required, with posted reports showing a census of zero despite a census of 103 residents.
F 0880: The facility failed to maintain infection prevention and control practices for Residents #35 and #66, including inadequate hand hygiene during fecal incontinence care and pressure sore treatment, and improper technique when emptying a urinary drainage bag.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 26
Minimum CNA staffing shortfalls: 1.5
Call light wait times: 81
Medication administration missed: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in infection control deficiency related to wound care and urinary catheter care |
| CNA #1 | Certified Nurse Aide | Named in dignity and infection control deficiencies related to resident care |
| CNA #10 | Certified Nurse Assistant | Named in ADL assistance deficiency for Resident #39 |
| CNA #2 | Certified Nurse Assistant | Named in ADL assistance deficiency for Resident #74 and staffing issues |
| LPN #2 | Licensed Practical Nurse | Named in medication administration deficiency on 6/4/23 evening shift |
| RN UM #1 | Registered Nurse Unit Manager | Named in dignity and infection control deficiencies and staffing issues |
| DON | Director of Nursing | Named in multiple interviews regarding staffing, infection control, and overall facility operations |
| ADON | Assistant Director of Nursing | Named in staffing and medication administration discussions |
Inspection Report — Jul 30, 2021
Routine CMS
Date: Jul 30, 2021
Visit Reason
The inspection was a Standard Survey conducted to assess compliance with regulatory requirements related to menu adherence and infection prevention and control practices.
Findings
The facility failed to follow the prepared menus for mechanically altered diets by substituting ground pork with gravy instead of Polish sausage. Additionally, the facility did not maintain proper infection prevention and control practices for residents with indwelling urinary catheters, as catheter drainage bags and tubing were observed in direct contact with the floor without barriers.
Citations (2)
F 0803: The facility did not follow the prepared menus for mechanically altered diets on 7/28/21, providing ground pork with gravy instead of Polish sausage to residents requiring puree and ground consistencies.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as indwelling urinary catheter drainage bags and tubing for Residents #43 and #60 were observed directly on the floor without barriers, increasing infection risk.
Report Facts
Residents affected: 15
Residents affected: 2
Catheter size: 16
Balloon size: 5
Balloon size: 10
UTI protocol fluid amount: 240
UTI protocol duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding menu substitution and food preparation practices | |
| Registered Dietitian | Interviewed regarding menu adherence | |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding expectations for reporting catheter bag placement |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding infection control issues with catheter bags on floor |
| Registered Nurse Unit Manager #1 | RN UM | Interviewed regarding catheter bag contamination risk |
| Registered Nurse Unit Manager #2 | RN UM | Interviewed regarding catheter tubing contact with floor |
| Director of Nursing | DON | Interviewed regarding infection control and catheter bag placement |
| Regional RN Consultant | Interviewed regarding catheter bag cleaning and placement | |
| Administrator | Interviewed regarding catheter bag affixation to bed | |
| Certified Nursing Assistant #1 | CNA | Interviewed regarding catheter bag handling and barriers |
| Certified Nursing Assistant #3 | CNA | Interviewed regarding catheter bag placement and handling |
| Resident #60's Physician | Physician | Interviewed regarding catheter bag infection risk |
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