Deficiency Index

Mcauley Residence

Kenmore, New York · CCN 335433

16 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
49
Surveys
16
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file12/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
160
Ownership
Non profit - Corporation
Chain
Independent
County
Erie
Medicare-certified since
1974

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Jan 8, 2025

670 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.273.67
Registered-nurse hours per resident day1.13—
Annual nurse turnover50.5%37.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD787.5%E—F—
No harm, potential for minimalA—B—C112.5%
CMS’s current file: 8 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6101×

    Respond appropriately to all alleged violations.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7561×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7611×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

From the most serious findings on record at Mcauley Residence, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF761Jan 8, 2025

    Based on observation, interview, and record review conducted during a Standard survey completed 1/8/25, the facility did not store all drugs and biologicals in locked compartments for one (Unit 2 East) of two medication storage rooms. Specifically, 16 medications for 7 residents were left unattended, unsecured on a shelf in the nurse's station. This involved Resident #s 17, 22, 68, 70, 72, 94, and 267. The findings are: The policy titled Ordering and Receiving Medications from the Dispensing Pharmacy dated 11/27/24 documented a licensed nurse receives medications delivered to the facility, immediately delivers the medications to the appropriate secure storage area (medication cart and/or narcotic cabinet) or to another licensed nursing staff member to place in their specific secure… […]

  • No harm, potential for more than minimal, isolatedF790Jan 8, 2025

    Based on observation, interview and record review conducted during the Standard survey completed on 1/8/25, the facility did not provide routine dental services to meet the needs of each resident for one (Resident #101) of one resident reviewed for dental services. Specifically, Resident #101 had complaints of tooth pain while chewing and was not evaluated by the dentist. The finding is: The policy titled Community Based Care: Dental Care effective date 11/18/21 documented that nursing staff will provide oral health care for each resident, assess resident's oral health upon admission, and obtain routine and 24-hour emergency dental care. […]

  • No harm, potential for more than minimal, isolatedF600Sep 14, 2023

    Based on observation, interview, and record conducted during an Abbreviated survey (Complaint #NY00323564) completed on 9/14/23, the facility failed to protect the residents' right to be free from physical abuse/corporal punishment for one (Resident #1) of three residents reviewed for abuse. Specifically, Licensed Practical Nurse (LPN) #1 placed their hand over Resident #1's mouth as a means to control the resident from yelling out. Additionally, Certified Nurse Aide (CNA) #1 did not report abuse immediately to facility Administration; and LPN #1 was not removed from resident access immediately and continued to care for residents in the facility. […]

  • No harm, potential for more than minimal, isolatedF600May 15, 2023

    Based on observation, record review, and interview conducted during a complaint investigation (Complaint #NY00316409) during the Standard survey completed on 5/15/23, the facility did not ensure residents had the right to be free from verbal and physical abuse for one (Resident # 74) of three residents reviewed for abuse. Specifically, on 5/11/23 CNA (Certified Nurse Aide) #1 was witnessed by other staff pointing their finger and yelling stop trying to hit me, grabbing Resident #74's right arm. […]

  • No harm, potential for more than minimal, isolatedF689May 15, 2023

    Based on observation, interview, and record review conducted during a complaint investigation (NY00299176) during the Standard survey completed on 5/15/2023, the facility did not ensure that each resident receives adequate supervision for one (Resident #45) of two residents reviewed for accidents. Specifically, the facility did not ensure Resident #45 was adequately supervised to prevent an elopement from the facility on 7/16/22. The finding is: The policy and procedure (P&P) titled Community Based Care: Elopement/Unsafe Wandering/Missing Patient/Resident dated 3/9/21 documented the purpose is to ensure the safety and security of all patients and residents. To establish uniform guidelines for identifying patients/ residents who are at risk for elopement and/or unsafe wandering. […]

Read 20 findings in full →The most serious and the most recent: 20 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 8, 2025Standard2 findings
  • Sep 14, 2023Complaint1 finding
  • May 15, 2023Standard and complaint4 findings
  • Dec 15, 2021Standard1 finding
  • Mar 24, 2021Complaint1 finding
  • May 20, 2019Standard4 findings
  • Jan 9, 2018Standard1 finding
  • Oct 20, 2016Standard and complaint4 findings
Show the 8 earlier surveys
  • Dec 15, 2015Standard and complaint6 findings
  • Jul 2, 2015Complaint2 findings
  • Dec 9, 2014Standard and complaint6 findings
  • Aug 19, 2014Complaint2 findings
  • Nov 4, 2013—7 findings
  • Sep 6, 2012—4 findings
  • Jun 14, 2012—2 findings
  • Oct 4, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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