Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lockport Rehab & Health Care Center during CMS and state inspections, most recent first.
Failure to Resolve Missing Property Grievances: Two residents reported missing personal items, including a handmade blanket and two pairs of pants, but the facility did not complete or follow through with the required grievance and loss-damage processes. Records showed only informal notes in communication books, while staff across departments were unaware of the proper forms or resolution process, and the DON and Administrator acknowledged the grievances should have been completed and followed appropriately.
A resident with osteomyelitis of the spine, R hemiparesis, and moderate cognitive impairment had bilateral bed assist bars used for mobility and pressure relief, but the record lacked documentation of an entrapment risk assessment, review of risks and benefits, or informed consent. Surveyors observed the right-side device loose with a gap from the mattress, and staff confirmed the device was not secure and that no formal consent or entrapment form had been completed.
Unlabeled and outdated food and beverages were found in a nourishment refrigerator, including opened thickened dairy drinks, opened apple juice, and an unopened personal yogurt stored with resident food. Staff stated opened items should be labeled and dated and used within 3 days, and the Administrator stated facility policy required items to be discarded after 72 hours.
Bed Rail Inspection and Compatibility Deficiency: The facility did not ensure regular entrapment inspections of bed systems for two residents using bilateral bed assist bars. Staff used a bed system measurement device that was missing a required scale component, did not retain test documentation, and were not following the bed manufacturer's specifications for compatible replacement rails. One resident had dementia, osteoporosis, and muscle weakness with impaired cognition, and another resident had MS and sepsis with substantial assistance needs for bed mobility.
Daily staffing postings did not include the required actual hours worked by RNs, LPNs, and CNAs or the resident census. Surveyors observed the staffing report at the reception desk and found only staff names listed for each shift, with no hours or census documented. Review of the staffing reports over several weeks showed the same omissions, and the Nursing Secretary stated the facility had stopped posting the hours and census after sending that information to corporate headquarters.
A resident with depression, anxiety, and diabetes was not provided showers according to their care plan, receiving them once a week in the evening instead of twice during the day. Facility documentation and staff communication failed to align with the resident's preferences, leading to dissatisfaction and a breach of resident rights.
A resident with vascular dementia and on blood thinners had long, jagged fingernails with debris, indicating a failure in nail care. Despite facility policy requiring daily checks and weekly trimming, there was no documentation of nail care. Staff interviews confirmed the responsibility of nurses to trim nails for residents on blood thinners, but this was not done, leading to unkempt nails and potential health risks.
A resident with a peg tube was not provided the prescribed enteral feeding upon admission to the facility, as the hospital discharge summary was not followed. The LPN Supervisor failed to ensure the continuation of the feed, and communication lapses occurred, resulting in the resident going 15 hours without their continuous enteral feed. The DON acknowledged that alternative feeds were available but were not utilized.
Failure to Resolve Missing Property Grievances
Penalty
Summary
The facility failed to make prompt efforts to resolve grievances related to missing personal property for two residents. The facility policies required that missing property be documented through a grievance or personal property loss report, investigated by the Administrator or designee, and acted on in a timely manner, with grievances not to exceed 21 days. Survey review found that these processes were not followed to completion for either resident. Resident #5 had diagnoses including COPD, dementia, and schizophrenia, and the resident’s MDS documented the resident was cognitively intact and that personal belongings were very important to them. The resident reported a missing crochet lap blanket that had been made by a niece and stated it had been missing for weeks and had not been returned. A Personal Property Loss/Damage Report showed the report was initiated by the Director of Activities after the family member reported the loss, but the social worker outcome/resolution was not completed. The record contained a communication book entry noting the blanket was cream, not blue, but there was no documentation that the facility was actively working toward resolution of the complaint or grievance. Resident #6 had diagnoses including COPD, diabetes, and obesity, and the resident’s MDS documented the resident was cognitively intact and that personal belongings were very important to them. The resident reported two missing pairs of pants, described as black and navy blue, and stated the items had been missing for over six months and were upsetting to them. Notes in a spiral notebook documented the missing pants, but the progress notes contained no evidence of missing personal property. Staff interviews showed that missing items were typically discussed in communication books or by email, but several staff members were unaware of any grievance forms or personal property loss reports being completed for the resident. The Director of Social Work stated a personal property loss report was not completed to their knowledge when the pants were reported missing, and the Administrator stated every missing item should have a grievance attached and followed appropriately.
Bed Assist Devices Used Without Required Assessment, Consent, or Secure Installation
Penalty
Summary
The facility failed to assess Resident #87 for entrapment risk before bed assist devices were installed and used, failed to review the risks and benefits of the devices with the resident or representative, and failed to obtain informed consent before use. Resident #87 had diagnoses including osteomyelitis of the vertebrae, right hemiparesis, and a urinary tract infection, and the MDS documented moderate cognitive impairment. The resident’s care plan and therapy documentation showed use of bilateral bed assist bars for rolling, pressure relief, and bed mobility, but there was no documentation of a side rail assessment, consent, or discussion of risks and benefits before the devices were used. Observations showed bilateral bed assist devices at the head of the bed, with the right-side device loose and able to move away from the mattress, creating a three-inch gap between the mattress and the device. The left-side device was also loose and not completely tightened. Certified Nurse Aide #3 stated the right-side device was loose and would not be safe to hold on to, and Licensed Practical Nurse #1 stated the device was not secure and that a loose bed assist device was a safety concern. The Director of Maintenance also observed that the right-side device was a little bit loose and that there should not be a gap between the mattress and the rail. Record review and staff interviews showed the facility’s process for bed assist devices involved therapy assessing bed mobility and obtaining consent, but the resident’s record did not contain documentation that this occurred for Resident #87. The Director of Rehab Services stated there was no formal consent received and no form completed for entrapment, while the Director of Maintenance stated the assist bars had already been installed from a previous resident and there was no work order for installation and assessment. The facility policy stated therapy would assess bed mobility, obtain consent, and review risks and benefits, but those steps were not documented for this resident.
Unlabeled and Outdated Food Stored in Nourishment Refrigerator
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety in the West Wing Unit nourishment refrigerator. Observation of the refrigerator revealed an opened, used 32 fluid ounce container of thickened dairy drink dated 12/5 with a best if used by date of 02/12/2026, an opened, used 32 fluid ounce container of thickened dairy drink dated 1/16, an opened, used 64 fluid ounce container of apple juice dated 2/20, and one unopened, unlabeled personal vanilla yogurt with a best by date. The facility policy titled Dietary Sanitation stated leftovers should be covered, labeled, dated, and used within 72 hours, and juices and iced tea should be used within seven days; the policy titled Dietary Services stated food should be stored, prepared, distributed, and served under sanitary conditions. During interview, a CNA stated items in the nourishment refrigerator come from the kitchen and that whoever opens a beverage container is responsible for dating it. The CNA also stated personal food items should be labeled with a name and that food and beverages in the refrigerator should be dated and labeled because they are only good for so long. The RD stated they were responsible for checking the nourishment refrigerators since the day before, and stated food and beverages should be labeled and dated and are only good for three days; they removed the outdated beverages and the personal yogurt after observing them. A FSW stated all kitchen staff were responsible for labeling and dating food and beverages when opened, and the Administrator stated they expected facility policy to be followed and that items should be discarded after 72 hours.
Bed Rail Inspection and Compatibility Deficiency
Penalty
Summary
The facility did not ensure regular inspections of bed frames, mattresses, and bed rails were conducted as part of a maintenance program to identify possible entrapment areas for two residents reviewed for side rail use. Surveyors found that the bed rails for both residents were checked with a bed system measurement device that lacked a required measurement component per the manufacturer's specifications, and the facility did not ensure the bed rails used with the beds were compatible with the bed frames. Resident #1 had diagnoses including dementia, osteoporosis, and muscle weakness. The resident's MDS documented moderately impaired cognition and need for substantial maximal assistance for lying to sitting at the side of the bed. The care plan documented limited physical mobility and use of bilateral bed assist bars. Observations showed the resident's bed was against the wall with bilateral assist rails, and the rails had no manufacturer's label and were affixed with screws to the underside of the bed springs and the surface of the bed springs with a wooden board above the pivot point of the head of the bed. Resident #71 was admitted with multiple sclerosis and sepsis. The MDS documented the resident was cognitively intact and required substantial assistance to move right to left in bed. The care plan documented limited physical mobility and use of bilateral bed assist bars. Observations showed the resident's bed was against the wall with bilateral assist rails that were slightly loose at the base, and the rails and bed frame had no manufacturer's label. The rails were also affixed with screws to the underside of the bed springs and the surface of the bed springs with a wooden board above the pivot point of the head of the bed. Staff interviews confirmed the facility used a bed system measurement device without the scale component, did not retain the test worksheets, and had not followed the bed manufacturer's specifications regarding authorized replacement parts.
Daily Staffing Posting Missing Required Hours and Census
Penalty
Summary
The facility did not ensure that posted nurse staffing information included the required daily details. During a standard survey, surveyors observed the Daily Staffing Report at the reception desk and found that the report for 03/06/2026 listed the names of nursing staff scheduled for the 7:00 AM to 3:00 PM, 3:00 PM to 11:00 PM, and 11:00 PM to 7:00 AM shifts, but did not include the resident census or the actual hours worked by the nursing staff. Review of the Daily Staffing Report from 02/06/2026 to 3/10/2026 showed that there were no documented hours for nursing staff and no documented resident census. The facility policy titled Daily Posting of Staffing Information and Resident Census, dated 01/2026, stated that the 11:00 PM to 7:00 AM shift would initiate the daily staffing report, include the schedule of all RNs, LPNs, and CNAs scheduled to work that day, and include the total hours of each category, with the Nursing Supervisor or designee updating the report at the beginning of each shift to add the current resident census. During interview, the Nursing Secretary stated that the facility stopped putting the number of nursing hours and the resident census on the posting after beginning to send that information to corporate headquarters sometime in February 2026 and did not realize it was supposed to be posted daily. The DON and Administrator both stated that the nurse staffing information and resident census should be posted daily.
Failure to Honor Resident's Bathing Preferences
Penalty
Summary
The facility failed to honor and facilitate a resident's right to self-determination and choice regarding their bathing schedule. Resident #9, who was cognitively intact and had diagnoses including depression, anxiety, and diabetes mellitus, was care planned to receive showers twice a week during the day. However, the resident was only provided with a shower once a week in the evening, which was inconsistent with their preferences and care plan. This discrepancy was noted during observations and interviews, where the resident expressed dissatisfaction with the current schedule, stating it interfered with their evening routine and television viewing. The facility's documentation, including the kardex and shower schedules, did not align with the resident's care plan. The kardex indicated showers were to be given on Tuesdays and Fridays between 6 AM and 2 PM, but the actual schedule showed a different time and frequency. Interviews with staff, including certified nursing aides and nurses, revealed a lack of communication and updates to the care plan and shower schedule. Staff members acknowledged the importance of matching the care plan with the resident's preferences and recognized the failure to do so as a breach of the resident's rights. The Director of Nursing and the Administrator confirmed that the resident's preferences should have been honored and discussed during care plan meetings, especially when the resident was transferred between units. The failure to update the shower schedule and communicate the resident's preferences resulted in the resident not receiving the care they desired. The facility's policies on resident rights and quality of life were not adhered to, leading to this deficiency in care.
Failure to Provide Adequate Nail Care for Resident
Penalty
Summary
The facility failed to ensure that a resident who was unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene. Specifically, a resident with vascular dementia and other medical conditions, including being on blood thinners, had long, thick, jagged fingernails with dark brown debris underneath. The facility's policy required that nails be observed daily and trimmed weekly on bath days, with special attention to residents on blood thinners. However, there was no documentation of nail care in the treatment administration records for the resident. Observations and interviews revealed that the resident's nails were not properly maintained, with chipped polish and debris present. Staff interviews indicated that while aides were responsible for daily nail checks, nurses were supposed to trim nails for residents on blood thinners. Despite this, the resident's nails were not trimmed, and staff were aware of the issue but did not take appropriate action. The Director of Nursing emphasized the importance of nail care to prevent infection and injury, especially for residents with contracted hands, but the expected care was not provided.
Failure to Provide Prescribed Enteral Feeding
Penalty
Summary
The facility failed to ensure that a resident who was fed by enteral means received the appropriate treatment and services to prevent possible complications. Specifically, the facility did not provide the tube feed formula as per the hospital discharge summary for Resident #127, who was admitted with diagnoses including malignant neoplasm of the tonsil and right lung, diabetes mellitus, and dysphagia. The hospital discharge summary specified that the resident was to continue feeds/formula: Glucerna 1.2 at 70 cubic centimeters per hour and free water flush 150 cc every four hours. However, there were no orders to continue the feed/formula as per the discharge summary upon the resident's admission to the facility. Upon admission, the Licensed Practical Nurse Supervisor verified the peg tube placement but did not ensure the continuation of the prescribed enteral feeding. The nursing progress notes indicated that there were no orders for the feed/formula in the electronic medical record, and it was not until later in the evening that the absence of these orders was noticed. The Nurse Practitioner was contacted, and a new order was received to check blood sugars every four hours and give glucagon if blood sugar falls below 70, but the enteral feeding was not initiated until the following morning. Interviews with facility staff revealed a lack of communication and follow-up regarding the missing feed. The Licensed Practical Nurse Supervisor did not attempt to notify the Director of Nursing, pharmacy, or hospital about the missing feed, and the on-call provider did not return their call. The Registered Dietitian stated that the facility had different options for feed already available and that an appropriate substitute should have been given to the resident. The Director of Nursing acknowledged that other types of feed were on hand at the facility and that the Licensed Practical Nurse Supervisor should have reached out for further guidance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lockport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elderwood At Lockport | 2.3 mi | ★★★★★ | 1 | 0 |
| Absolut Center For Nursing And Rehabilitation At G | 5.7 mi | ★★★★★ | 1 | 1 |
| Newfane Rehab & Health Care Center | 9 mi | ★★★★★ | 0 | 0 |
| Rosa Coplon Jewish Home And Infirmary | 11.1 mi | — | 0 | 0 |
| Canterbury Woods | 11.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.