Chautauqua Nursing and Rehabilitation Center Inspection Report, Violations & Safety Grade (DUNKIRK, New York)

10836 TEMPLE ROAD, DUNKIRK, New York 14048

Phone: 7163666400

CMS Overall:2/5

Overview & Bed Count

Certified Beds

216

Avg Residents/Day

203.2

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Chautauqua

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health2/5

Staffing1/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	New York Avg	Difference
RN Hours per Resident per Day	0.40	0.73	-0.33
Total Nurse Hours per Resident per Day	2.99	3.69	-0.69
CMS Staffing Rating	1/5	2.9/5	-
Nursing Staff Turnover	49.7%	40.3%	-

Health Citation History

14 health citations on record

Date	Category	Description	Severity
2026-03-27	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	F – Moderate Harm Potential
2026-03-27	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	F – Moderate Harm Potential
2026-03-27	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F – Moderate Harm Potential
2026-03-27	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2026-03-27	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2026-03-27	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	D – Moderate Harm Potential
2025-03-05	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2025-03-05	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2024-08-12	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2023-12-01	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2023-12-01	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2023-12-01	Administration Deficiencies	Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.	C – Minimal Harm Potential
2021-10-01	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2021-10-01	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

Date	Category	Description	Severity
2026-03-27	Egress Deficiencies	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	E – Moderate Harm Potential
2026-03-27	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2026-03-27	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2026-03-27	Smoke Deficiencies	Have properly installed hallway dispensers for alcohol-based hand rub.	E – Moderate Harm Potential
2026-03-27	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-03-27	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2026-03-27	Services Deficiencies	Have elevators that firefighters can control in the event of a fire.	E – Moderate Harm Potential
2026-03-27	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the installation and maintenance of electrical systems.	E – Moderate Harm Potential
2026-03-27	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2023-12-01	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2023-12-01	Egress Deficiencies	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	E – Moderate Harm Potential
2023-12-01	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Have properly installed hallway dispensers for alcohol-based hand rub.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	E – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-12-01	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	E – Moderate Harm Potential
2023-12-01	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2021-10-01	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2021-10-01	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	E – Moderate Harm Potential

Total Penalties & Fines

$8,926

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-01-08	Fine	$2,634	-
2024-01-02	Fine	$2,098	-
2023-12-11	Fine	$4,194	-

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

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