Willow Creek
Willow Creek
Willow Creek is a 32-bed assisted living program at 4460 Union Hill Road in Hinsdale, New York (Cattaraugus County), operated by Underwood Gardens, LLC. Licensed as an Assisted Living Program (ALP) by the New York State Department of Health, the facility accepts residents medically eligible for nursing home placement but capable of living in residential settings without continual skilled nursing care.
Services span personal care, room and board, housekeeping, linen service, 24-hour trained supervision, home health aide support, emergency response systems, nursing, physical therapy, occupational therapy, speech therapy, medical equipment provision, adult day health care, and case management by registered professional nurses. Semi-private rooms are available. A registered dietitian develops all meals and snacks. Daily activities include crafts, outings, exercise, parties, and games.
Between August 2021 and February 2025, ten inspections produced 28 total citations. The facility averaged 2.8 citations per inspection, double the state average of 1.4. Every inspection resulted in citations, compared to 44 percent statewide.
The February 26, 2025 complaint investigation found six deficiencies spanning operating certificates, resident services, records management, and admission standards. All identified violations received approved plans of correction. No fines, immediate jeopardy findings, or enforcement actions entered the public record.
Earlier inspections documented persistent themes in resident services protocols, admission and retention compliance, and documentation accuracy. The consistent citation pattern over four years indicates difficulty maintaining documented compliance across these specific areas. These are administrative rather than clinical failures.
Eight complaints were filed over five years, representing 90 percent fewer than the statewide average of 79. The facility received zero substantiated complaint investigations. This divergence between high citation rates and low resident/family complaints suggests regulatory issues centered on administrative compliance rather than operational or care failures.
The overall inspection score of 78 out of 100 (C+) exceeds the New York state average of 74. This reflects the facility’s strength in complaint metrics offsetting its weakness in citation frequency.
Families should request explanation of corrective actions taken following the February 2025 citations and protocols for resident services documentation, admission standards compliance, and records management.
32-bed community Rank #730 / 748Bed count — State benchmarkedThis home is ranked 730th out of 748 homes in New York. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 5 / 100 Rank #1121 / 1173Walk Score — State benchmarkedThis home is ranked 1121st out of 1173 homes in New York. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New York facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
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
Admission CriteriaMedically eligible for nursing home placement but does not require continual nursing care.
HousekeepingYes
Linen ServiceYes
Housekeeping
Laundry
Personal Care
ActivitiesDaily Activity Programs include crafts, outings, exercise, parties, and games.
Specific ProgramsAssistance with Personal Care Needs (bathing, dressing & grooming), On-going monitoring and management of health care needs
Volunteer ProgramsYes
Food DescriptionResidents are provided with nutritious well-balanced meals and snacks developed by a Registered Dietitian.
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
Since 2021 · 5 years of data
0 enforcement actions
28 citations
8 complaints
10 inspections
0 complaint investigations
Inspection Score
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
7 points above the New York average for nursing homes (83/100)
Rank #115 / 344 in New York Inspection Score — State benchmarked This home is ranked 115th out of 344 homes in New York. Shows this facility's inspection score compared to the New York average among 344 comparable communities in the ranking pool. Inspection score: 90 out of 100. Letter grade A-. 7 points above the New York average for nursing homes (83/100)
Inspection Scorecard
This scorecard compares key inspection, citation, 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.
Since 2021 vs. New York state average
Overall vs. NY average
6 Worse
Metrics worse than New York average:
• Total citations (115% above)
• Citations per year (115% above)
• Citations per inspection (100% above)
• Total inspections (11% above)
• Inspections with citations (150% above)
• Inspection citation rate (127% above) 4 Better Metrics better than New York average:
• Total complaints (90% below)
• Complaints per year (90% below)
• Complaints per bed (50% below)
• Complaint investigations (100% below)
• Total citations (115% above)
• Citations per year (115% above)
• Citations per inspection (100% above)
• Total inspections (11% above)
• Inspections with citations (150% above)
• Inspection citation rate (127% above) 4 Better Metrics better than New York average:
• Total complaints (90% below)
• Complaints per year (90% below)
• Complaints per bed (50% below)
• Complaint investigations (100% below)
Latest Inspection
February 26, 2025
Complaint Investigation
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 13 | This facility has 115% more total citations than a typical New York nursing home (28 vs. NY avg 13).↑ 115% worse |
|
Citations per year
Average citations per year since 2021.
| 5.6 | 2.6 | This facility has 115% more citations per year than a typical New York nursing home (5.6 vs. NY avg 2.6).↑ 115% worse |
|
Citations per inspection
Average citations per inspection.
| 2.8 | 1.4 | This facility has 100% more citations per inspection than a typical New York nursing home (2.8 vs. NY avg 1.4).↑ 100% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 9 | This facility has 11% more total inspections than a typical New York nursing home (10 vs. NY avg 9).↑ 11% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 10 | 4 | This facility has 150% more inspections with citations than a typical New York nursing home (10 vs. NY avg 4).↑ 150% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 100% | 44% | This facility has 56 percentage points higher inspection citation rate than a typical New York nursing home (100% vs. NY avg 44%).↑ 56% worse |
Complaints & Investigations
| 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 nursing home (8 vs. NY avg 79).↓ 90% better |
|
Complaints per year
Average complaints per year since 2021.
| 1.6 | 15.8 | This facility has 90% fewer complaints per year than a typical New York nursing home (1.6 vs. NY avg 15.8).↓ 90% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.25 | 0.50 | This facility has 50% fewer complaints per bed than a typical New York nursing home (0.25 vs. NY avg 0.5).↓ 50% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 0 | 15 | This facility has 100% fewer complaint investigations than a typical New York nursing home (0 vs. NY avg 15).↓ 100% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- February 26, 2025 inspection found 6 deficiencies in operating certificates, resident services, records, and admission standards, with an approved plan of correction and no complaints.
- Deficiencies consistently involved resident services and records across multiple inspections from 2022 to 2025, with plans of correction accepted each time.
- March 25, 2024 inspection cited 7 deficiencies including admission standards and resident services, marking the highest count and showing ongoing compliance issues.
Places of interest near Willow Creek
0.0 miles from city center
Estimated distance in miles from Hinsdale's city center to Willow Creek's address, calculated via Google Maps.
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Financial Assistance for
Assisted Living in New York
Willow Creek is located in Hinsdale, New York.
Here are the financial assistance programs available to residents in New York.
Compare Assisted Living around New York State
The information below is reported by the New York State Department of Health.
| The Bristal at White Plains |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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160
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14
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63
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#1060 / 1173 | Ebc White Plains, LLC | 97
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97
NY AVG
83
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#25 / 344 | 3 | 33.3%
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33.3%
NY AVG
44.4%
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#131 / 318 | 3
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3
NY AVG
6
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#129 / 318 | 1
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1
NY AVG
14.5
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#103 / 318 | 0.3
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0.3
NY AVG
1.6
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#115 / 318 | - |
| Promenade at Tuxedo Place |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Tuxedo Park | 89
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89
NY AVG
160
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#543 / 748 | No |
34
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34
NY AVG
63
Rank
#928 / 1173 | Promenade Tuxedo LLC | 85
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85
NY AVG
83
Rank
#164 / 344 | 4 | 25%
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25%
NY AVG
44.4%
Rank
#111 / 318 | 3
Facility
3
NY AVG
6
Rank
#129 / 318 | 1
Facility
1
NY AVG
14.5
Rank
#103 / 318 | 0.3
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0.3
NY AVG
1.6
Rank
#115 / 318 | 1 Bed Suite / Private Room |
| Peregrine Senior Living at Crossgate |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Albany (Dunes) | 83
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83
NY AVG
160
Rank
#571 / 748 | No |
49
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49
NY AVG
63
Rank
#788 / 1173 | Psl Of Crossgate LLC | - | - | 0%
Facility
0%
NY AVG
44.4%
Rank
#1 / 318 | 0
Facility
0
NY AVG
6
Rank
#1 / 318 | 0
Facility
0
NY AVG
14.5
Rank
#1 / 318 | 0
Facility
0
NY AVG
1.6
Rank
#1 / 318 | Studio / 1 Bed / 2 Bed |
| The Chelsea at Brookhaven |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Yaphank | 81
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#1121 / 1173 | Brookhaven Senior Living, LLC | 69
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#306 / 344 | 9 | 77.8%
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77.8%
NY AVG
44.4%
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#262 / 318 | 3
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3
NY AVG
6
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#129 / 318 | 21
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21
NY AVG
14.5
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#273 / 318 | 2.3
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2.3
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| Willow Creek |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hinsdale | 32
Facility
32
NY AVG
160
Rank
#730 / 748 | No |
5
Facility
5
NY AVG
63
Rank
#1121 / 1173 | - | 90
Facility
90
NY AVG
83
Rank
#115 / 344 | 11 | 0%
Facility
0%
NY AVG
44.4%
Rank
#1 / 318 | 0
Facility
0
NY AVG
6
Rank
#233 / 318 | 0
Facility
0
NY AVG
14.5
Rank
#1 / 318 | 0
Facility
0
NY AVG
1.6
Rank
#1 / 318 | - |
Frequently Asked Questions about Willow Creek
Who is the owner of Willow Creek?
The legal owner and operator of Willow Creek is 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.
How many beds does Willow Creek have?
Willow Creek has 32 beds.
Are there photos of Willow Creek?
Yes — there are 2 photos of Willow Creek in the photo gallery on this page.
What is the address of Willow Creek?
Willow Creek is located at 4460 Union Hill Rd.
What is the phone number of Willow Creek?
(716) 557-2322 will put you in contact with the team at Willow Creek.
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