State assisted-living licensing record · New York DOH · record as pulled October 1, 2026· Not the federal nursing home survey
Southern Tier Meadows
4883 West Main Road, Fredonia, NY 14063 · Chautauqua County · 24 licensed beds
DOH profile ID 1255134 · licence 060-E-038 · certified, operating certificate in force · first licensed June 1985
The licence
Licensed by DOH · Adult Home · Not for profit · managed by Southern Tier Environments for Living, Inc.
Certificate details, as listed by DOH
- Certified as
- Adult Home
- Operating certificate
- 060-E-038
- Opened
- June 10, 1985
- Ownership
- Not for Profit Corporation
- DOH regional office
- Western Regional Office - Buffalo
Position within New York
19 citations — more than 72% of the 528 licensed assisted living facilities in New York. Compared only within New York: a citation from DOH means what it means in New York, and there is no national assisted living record to compare to. Counted over 4 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire safety inspection, severity, the regulation text, and enforcement. Fire safety inspections under the state fire code are made by local code enforcement and are not part of DOH's record; what DOH itself cites about the building — its environmental standards and its disaster and emergency planning rules — is here. DOH assigns no severity to a violation and publishes no correction date, only whether the facility's plan of correction was approved, which is not carried here. Violations under dispute through DOH's Inspection Review Process are withheld from its page and so from this one. Civil penalties and other enforcement are published separately and not republished, and an operator that is an individual is not named.
Get an email about Southern Tier Meadows
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 18NYCRR-487.11 Environmental standardsMarch 4, 2026
- 18NYCRR-487.12 Disaster and emergency planningMarch 4, 2026
- 18NYCRR-487.11 Environmental standardsSeptember 9, 2024
- 18NYCRR-487.11 Environmental standardsSeptember 9, 2024
- 18NYCRR-487.12 Disaster and emergency planningSeptember 9, 2024
How that compares
Compared with the median licensed assisted living facility in New York. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 19 |
| Median facility in New York | 8 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 14, 2022 | complaint investigation | 0 |
| November 14, 2022 | complaint investigation | 0 |
| July 10, 2024 | complaint investigation | 1 |
| September 9, 2024 | relicensure inspection | 11 |
| April 8, 2025 | complaint investigation | 1 |
| August 5, 2025 | complaint investigation | 0 |
| September 23, 2025 | complaint investigation | 0 |
| January 8, 2026 | complaint investigation | 0 |
| January 21, 2026 | complaint investigation | 0 |
| March 4, 2026 | relicensure inspection | 6 |
What the citations cover
- Resident care 9
- Staffing and training 4
- Physical plant 3
- Emergency management 2
- Other 1
| Category | Citations |
|---|---|
| Resident care | 9 |
| Staffing and training | 4 |
| Physical plant | 3 |
| Emergency management | 2 |
| Records and administration | 1 |
Every visit on file since October 2022
As published by DOH, newest first, including visits that cited nothing. The wording is DOH’s own.
March 4, 2026 — relicensure inspection, 6 citations
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.11 | Environmental standards |
| 18NYCRR-487.12 | Disaster and emergency planning |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.9 | Personnel |
January 21, 2026 — complaint investigation, nothing cited
January 8, 2026 — complaint investigation, nothing cited
September 23, 2025 — complaint investigation, nothing cited
August 5, 2025 — complaint investigation, nothing cited
April 8, 2025 — complaint investigation, 1 citation
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.4 | Admission standards |
September 9, 2024 — relicensure inspection, 11 citations
| Tag | What DOH checks |
|---|---|
| 10NYCRR-402.4 | General requirements |
| 18NYCRR-487.10 | Records and reports |
| 18NYCRR-487.11 | Environmental standards |
| 18NYCRR-487.11 | Environmental standards |
| 18NYCRR-487.12 | Disaster and emergency planning |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.9 | Personnel |
| 18NYCRR-487.9 | Personnel |
July 10, 2024 — complaint investigation, 1 citation
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.4 | Admission standards |
November 14, 2022 — complaint investigation, nothing cited
November 14, 2022 — complaint investigation, nothing cited
DOH also holds 2 older citations for this facility from before October 2022, outside the 4-year window these pages use. They are on the state’s own record.
Reflects the DOH record as pulled October 1, 2026. A recent visit may not appear yet. This is the New York state licensing record; it is not the federal nursing home survey and the two are never combined.