Inspection Reports for
Willow Creek

4460 Union Hill Rd., NY, 14743

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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: Feb 26, 2025

Visit Reason
6 violations related to operating certificates, resident services, records, and admission standards; plan/notice of correction approved.

Findings
6 violations related to operating certificates, resident services, records, and admission standards; plan/notice of correction approved.

Deficiencies (6)
485.5 (f) — Operating certificates
487.7 (d) (1) (x) — Resident services
487.7 (d) (6) (iii) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services
487.10 (c) (1-3) — Records and reports
494.4 (a) — Admission and retention standards

Inspection Report

Renewal
Capacity: 60 Deficiencies: 4 Date: Nov 26, 2024

Visit Reason
4 violations related to resident services and medication management; plan/notice of correction approved.

Findings
4 violations related to resident services and medication management; plan/notice of correction approved.

Deficiencies (4)
487.7 (d) (6) (ii) — Resident services
487.7 (f) (5) — Resident services
487.7 (f) (11) (iii) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 7 Date: Mar 25, 2024

Visit Reason
7 violations related to admission standards, resident services, and records; plan/notice of correction approved.

Findings
7 violations related to admission standards, resident services, and records; plan/notice of correction approved.

Deficiencies (7)
487.4 (h)(1) — Admission standards
487.4 (i) — Admission standards
487.7 (d) (1) (x) — Resident services
487.7 (e) (9) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services
487.10 (c) (1-3) — Records and reports
494.4 (k) — Admission and retention standards

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Oct 20, 2023

Visit Reason
1 violation related to resident services; plan/notice of correction approved.

Findings
1 violation related to resident services; plan/notice of correction approved.

Deficiencies (1)
487.7 (d) (4) — Resident services

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Aug 16, 2023

Visit Reason
2 violations related to resident services and case management; plan/notice of correction approved.

Findings
2 violations related to resident services and case management; plan/notice of correction approved.

Deficiencies (2)
487.7 (d) (1) (i) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Feb 13, 2023

Visit Reason
1 violation related to environmental standards; plan/notice of correction approved.

Findings
1 violation related to environmental standards; plan/notice of correction approved.

Deficiencies (1)
487.11 (b) (1-2) — Environmental standards

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Nov 1, 2022

Visit Reason
1 violation related to records and reports; plan/notice of correction approved.

Findings
1 violation related to records and reports; plan/notice of correction approved.

Deficiencies (1)
487.10 (e) (2) — Records and reports

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: May 13, 2022

Visit Reason
2 violations related to medication management and case management; plan/notice of correction approved.

Findings
2 violations related to medication management and case management; plan/notice of correction approved.

Deficiencies (2)
487.7 (f) (5) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Apr 20, 2022

Visit Reason
3 violations related to general requirements, resident services, and records; plan/notice of correction approved.

Findings
3 violations related to general requirements, resident services, and records; plan/notice of correction approved.

Deficiencies (3)
402.4(b)(2)(i) — General requirements
487.7 (d) (12-13) — Resident services
487.10 (c) (1-3) — Records and reports

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Sep 17, 2021

Visit Reason
No violations; plan/notice of correction not required.

Findings
No violations; plan/notice of correction not required.

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Aug 28, 2021

Visit Reason
1 violation related to records and reports; plan/notice of correction approved.

Findings
1 violation related to records and reports; plan/notice of correction approved.

Deficiencies (1)
485.11 (b) — Records and reports

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