Deficiency Index

Schoellkopf Health Center

Niagara Falls, New York · CCN 335376

17 surveys since 2011. The first finding at harm level was recorded in 2023.

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

Citations on record
69
Surveys
17
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/17

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

The facility

Certified beds
120
Ownership
Non profit - Corporation
Chain
Independent
County
Niagara
Medicare-certified since
1973

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 28 not-for-profit facilities of 100–127 beds in New York.

Last survey on record

Aug 22, 2025

444 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 day3.763.84
Registered-nurse hours per resident day0.43—
Annual nurse turnover54.3%41.3%

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 minimalD1368.4%E210.5%F315.8%
No harm, potential for minimalA—B15.3%C—
CMS’s current file: 19 of the 69 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F9253×

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

In the surveyor’s words

From the most serious findings on record at Schoellkopf Health Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF578Mar 8, 2023

    Based on observation, interview and record review conducted during an Abbreviated survey (Complaint #NY00311631) completed the facility failed to ensure the system developed for advance directives was implemented in a manner that was consistent with residents' wishes for one (Resident #1) of six residents reviewed. Specifically, the facility failed to update Resident #1's MOLST (Medical Orders for Life-Sustaining Treatment) status on the Closet Care Plan and Resident #1's wrist band after the resident changed their MOLST status to DNR (Do Not Resuscitate) on [DATE]. Subsequently, on [DATE] Resident #1 was found unresponsive and CPR (Cardiopulmonary Resuscitation) was initiated and sent to the emergency room (ER). Resident was resuscitated and returned to the facility on [DATE]. […]

  • No harm, potential for more than minimal, widespreadF925Aug 22, 2025

    Based on observation, interview and record review conducted during the Standard survey completed on 08/22/2025, the facility did not maintain a pest- free environment and an effective pest control program. Specifically, there was of evidence of rodents (dead rodents, rodent droppings) and complaints of rodent sightings in resident rooms. The findings are:The policy and procedure titled Pest Control, revised 11/2024, documented pests can present significant health risks, including the spread of disease, contamination of supplies, and deterioration of hospital infrastructure. The Environmental Services Department is responsible for daily cleaning and maintenance of facilities to minimize conditions conducive to pest infestations. […]

  • No harm, potential for more than minimal, widespreadF925May 6, 2025

    Based on observation, interview, and record review during a Complaint Investigation (Complaint #NY00370870), the facility did not maintain an effective pest control program for two (second and third floors) of four resident use floors and the Main Kitchen. Issues included observations of evidence of rodents (dead rodents and rodent droppings) and complaints of rodent sightings in resident rooms. Additionally, on the exterior of the building, used kitchen grease was stored in a manner that had the potential to attract rodents. […]

  • No harm, potential for more than minimal, widespreadF925Nov 12, 2024

    Based on observation, interview, and record review during a Complaint Investigation (Complaint #NY00351197), the facility did not maintain an effective pest control program for three (First, Second, and Third Floors) of four resident use floors and the Main Kitchen. Issues included observations of evidence of rodents (droppings) and complaints of rodent sightings in resident rooms. Additionally, on the exterior of the building, garbage and used kitchen grease were stored in a manner that had the potential to attract rodents. […]

  • No harm, potential for more than minimal, patternF607Aug 22, 2023

    Based on interview and record review during the Standard survey completed on 8/22/23, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility did not provide documentation that verified seven (three Housekeeping Attendants, one Diet Technician, one Registered Nurse, one Social Worker, and one Activities Leader) of eleven employees that worked in the facility and were subject to the New_York State (NYS) Nurse Aide Registry, had been screened through the NYS Nurse Aide Registry prior to their employment. […]

Read 20 findings in full →The most serious and the most recent: 20 of 69 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 22, 2025Standard and complaint8 findings
  • May 6, 2025Complaint1 finding
  • Feb 12, 2025Complaint2 findings
  • Nov 12, 2024Complaint1 finding
  • Aug 22, 2023Standard5 findings
  • Mar 8, 2023Complaint1 finding · 1 harm
  • Nov 23, 2021Standard2 findings
  • Apr 9, 2019Standard3 findings
Show the 9 earlier surveys
  • Nov 6, 2017Standard1 finding
  • Sep 2, 2016Standard8 findings
  • Aug 24, 2015Standard3 findings
  • Sep 12, 2014Standard9 findings
  • Apr 16, 2014Complaint1 finding
  • Jan 6, 2014—3 findings
  • Jan 22, 2013—5 findings
  • Dec 22, 2011—2 findings
  • Jan 13, 2011—14 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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