Inspection Reports for St Anns Community

920 Cherry Ridge Boulevard, Webster, NY, 14580

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Inspection Report Summary

The most recent inspection on September 10, 2025, identified multiple Level 2 deficiencies related to feeding assistance, medication labeling, environment, and life safety code electrical systems, with no actual harm reported. Earlier inspections showed a pattern of similar issues, including medication labeling, care planning, quality of care, and life safety code concerns, some of which were corrected within a few months. Inspectors cited recurring themes around medication management, care planning, and maintenance of electrical and fire safety systems. Complaint investigations were unsubstantiated, and no fines or enforcement actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with these areas, with some corrections noted but no clear overall improvement trend.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 5.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

10% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 6 Date: Sep 10, 2025

Visit Reason
Inspection found multiple Level 2 deficiencies in feeding assistance, medication labeling, environment, and life safety code electrical systems with no actual harm but potential for minor harm.

Findings
Inspection found multiple Level 2 deficiencies in feeding assistance, medication labeling, environment, and life safety code electrical systems with no actual harm but potential for minor harm.

Deficiencies (6)
Feeding asst/training/resident
Label/store drugs and biologicals
Safe/clean/comfortable/homelike environment
Electrical systems - essential electric system
Emergency lighting
Fire alarm system - testing and maintenance

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 8 Date: May 8, 2024

Visit Reason
Inspection identified Level 2 deficiencies in baseline care plan, medication labeling, quality of care, medication errors, and life safety code electrical systems and fire alarm maintenance, all corrected by July 2024.

Findings
Inspection identified Level 2 deficiencies in baseline care plan, medication labeling, quality of care, medication errors, and life safety code electrical systems and fire alarm maintenance, all corrected by July 2024.

Deficiencies (8)
Baseline care plan
Label/store drugs and biologicals
Quality of care
Residents are free of significant med errors
Electrical systems - essential electric system
Fire alarm system - testing and maintenance
Fundamentals - building system categories
Stairways and smokeproof enclosures

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Sep 13, 2023

Visit Reason
Inspection found a Level 2 deficiency related to abuse and neglect, corrected by November 2023.

Findings
Inspection found a Level 2 deficiency related to abuse and neglect, corrected by November 2023.

Deficiencies (1)
Free from abuse and neglect

Inspection Report

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

Visit Reason
Covid-19 survey identified a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey identified a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Sep 19, 2022

Visit Reason
Covid-19 survey found a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey found a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 10 Date: Aug 29, 2022

Visit Reason
Complaint survey found multiple Level 2 deficiencies in care plan timing, abuse/neglect policies, accident hazards, environment, construction standards, and life safety code issues including corridor doors, electrical systems, elevators, HVAC, all corrected by October 2022.

Findings
Complaint survey found multiple Level 2 deficiencies in care plan timing, abuse/neglect policies, accident hazards, environment, construction standards, and life safety code issues including corridor doors, electrical systems, elevators, HVAC, all corrected by October 2022.

Deficiencies (10)
Care plan timing and revision
Develop/implement abuse/neglect policies
Free of accident hazards/supervision/devices
Safe/clean/comfortable/homelike environment
Standards of construction for new nh
Corridor - doors
Electrical systems - essential electric system
Elevators
Hvac
Stairways and smokeproof enclosures

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Dec 6, 2021

Visit Reason
Covid-19 survey found a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Findings
Covid-19 survey found a Level 2 deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

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