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

Canterbury Woods

WILLIAMSVILLE, NY · 50 certified beds · Last Life Safety survey January 8, 2025

CMS Certification Number 335816 · first certified August 1999

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

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

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NY

9 citations — more than 25% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

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

When is the next survey likely?

The window is open now: July 2026 to February 2027. This facility’s last Life Safety survey was January 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

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 9 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 facility9NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-1252023-0632025-01
Citations at each Life Safety survey
Survey dateCitations
December 30, 20211
June 2, 20235
January 8, 20253

Most-cited tags

Most-cited tags at this facility
K-03721K-09181K-03551K-03451K-03531K-09211K-02811K-02221
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.12025-01-08
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-06-02
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-06-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-01-08
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-06-02
K-0921Ensure that testing and maintenance of electrical equipment is performed.12021-12-30
K-0281Install proper backup exit lighting.12023-06-02
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-01-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2

Every citation on file

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

January 8, 2025 — 3 citations

Citations issued on January 8, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 28, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 21, 2025)

June 2, 2023 — 5 citations

Citations issued on June 2, 2023
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 18, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 18, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 18, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 18, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 18, 2023)

December 30, 2021 — 1 citation

Citations issued on December 30, 2021
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 21, 2022)

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