Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ELDERWOOD AT LOCKPORT

LOCKPORT, NY · 126 certified beds · Last Life Safety survey May 2, 2025

CMS Certification Number 335500 · first certified August 1976

Ownership

Operated by ELDERWOOD · For profit - Limited Liability company

  • Ownership changed January 30, 2018 (change of ownership)from ODD FELLOW AND REBEKAH REHABILITATION AND HEALTH CARE CENTER INC
15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within NY

15 citations — more than 56% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was May 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility15NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
32021-0792023-0632025-05
Citations at each Life Safety survey
Survey dateCitations
July 30, 20213
June 6, 20239
May 2, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-03532K-03742K-02111K-09231K-02001K-07811K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-02
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-02
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22023-06-06
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-06-06
K-0923Have proper medical gas storage and administration areas.12023-06-06
K-0200Meet other general requirements.12023-06-06
K-0781Have restrictions on the use of portable space heaters.12021-07-30
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-06-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies3
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 2, 2025 — 3 citations

Citations issued on May 2, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 30, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 30, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 30, 2025)

June 6, 2023 — 9 citations

Citations issued on June 6, 2023
TagWhat the surveyor checksStatus
K-0200Meet other general requirements.Deficient, Provider has date of correction (July 31, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 31, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 31, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 31, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 31, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 31, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 31, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 29, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 31, 2023)

July 30, 2021 — 3 citations

Citations issued on July 30, 2021
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 28, 2021)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 28, 2021)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (September 28, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.