State assisted-living licensing record · New York DOH · record as pulled October 1, 2026· Not the federal nursing home survey
Willow Creek
4460 Union Hill Rd., Hinsdale, NY 14743 · Cattaraugus County · 32 licensed beds
DOH profile ID 12578830 · licence 040-F-032 · certified, operating certificate in force · first licensed December 2022
The licence
Licensed by DOH · Adult Home · For profit · managed by Underwood Gardens, LLC
Certificate details, as listed by DOH
- Certified as
- Adult Home
- Operating certificate
- 040-F-032
- Assisted Living Program (ALP)
- 32 beds
- Opened
- December 19, 2022
- Ownership
- LLC
- DOH regional office
- Western Regional Office - Buffalo
Position within New York
22 citations — more than 76% 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.
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Building-related citations
The citation about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 18NYCRR-487.11 Environmental standardsFebruary 15, 2023
How that compares
Compared with the median licensed assisted living facility in New York. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 22 |
| Median facility in New York | 8 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 4, 2022 | other inspection | 1 |
| February 15, 2023 | other inspection | 1 |
| October 11, 2023 | complaint investigation | 2 |
| April 1, 2024 | complaint investigation | 7 |
| April 1, 2024 | complaint investigation | 1 |
| February 25, 2025 | relicensure inspection, complaint investigation | 4 |
| April 11, 2025 | complaint investigation | 6 |
| September 12, 2025 | other inspection | 0 |
| February 4, 2026 | complaint investigation | 0 |
What the citations cover
- Resident care 17
- Records and administration 4
- Physical plant 1
| Category | Citations |
|---|---|
| Resident care | 17 |
| Records and administration | 4 |
| Physical plant | 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.
February 4, 2026 — complaint investigation, nothing cited
September 12, 2025 — other inspection, nothing cited
April 11, 2025 — complaint investigation, 6 citations
| Tag | What DOH checks |
|---|---|
| 18NYCRR-485.5 | Operating certificates |
| 18NYCRR-487.10 | Records and reports |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-494.4 | Admission and retention standards |
February 25, 2025 — relicensure inspection, complaint investigation, 4 citations
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
April 1, 2024 — complaint investigation, 7 citations
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.10 | Records and reports |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.4 | Admission standards |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-494.4 | Admission and retention standards |
April 1, 2024 — complaint investigation, 1 citation
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.7 | Resident services |
October 11, 2023 — complaint investigation, 2 citations
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.7 | Resident services |
| 18NYCRR-487.7 | Resident services |
February 15, 2023 — other inspection, 1 citation
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.11 | Environmental standards |
November 4, 2022 — other inspection, 1 citation
| Tag | What DOH checks |
|---|---|
| 18NYCRR-487.10 | Records and reports |
DOH also holds 5 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.