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

WELLSVILLE MANOR CARE CENTER

WELLSVILLE, NY · 120 certified beds · Last Life Safety survey June 14, 2024

CMS Certification Number 335661 · first certified February 1983

Ownership

Operated by THE MAYER FAMILY · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NY

14 citations — more than 52% 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

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

The latest survey found 10 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (December 2025 to July 2026). Most NY facilities have been surveyed by December 2026. This facility’s last Life Safety survey was June 2024. 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

1 inspection-and-testing tag has 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)

1 physical-environment citation 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 14 Life Safety citations above. The Physical Environment Index

  • 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 facility14NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-0832022-07102024-06
Citations at each Life Safety survey
Survey dateCitations
August 2, 20191
July 22, 20223
June 14, 202410

Most-cited tags

Most-cited tags at this facility
K-03722K-05211K-09111K-03741K-03511K-03211K-09181K-09011
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-06-14
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-06-14
K-0911Meet requirements for the installation and maintenance of electrical systems.12024-06-14
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-06-14
K-0351Install an approved automatic sprinkler system.12022-07-22
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-07-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-06-14
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.12024-06-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Electrical Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies3
Electrical Deficiencies1
Egress Deficiencies1
Services Deficiencies1

Every citation on file

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

June 14, 2024 — 10 citations

Citations issued on June 14, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 13, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 13, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (August 13, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 13, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 13, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 13, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 13, 2024)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (August 13, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 13, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 13, 2024)

July 22, 2022 — 3 citations

Citations issued on July 22, 2022
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 16, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 16, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 16, 2022)

August 2, 2019 — 1 citation

Citations issued on August 2, 2019
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (October 1, 2019)

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