Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Schoellkopf Health Center during CMS and state inspections, most recent first.
The facility did not maintain an effective pest control program, as evidenced by ongoing rodent sightings, droppings, and dead rodents found in resident rooms, dining areas, and the main kitchen. Multiple residents reported frequent rodent activity, and staff confirmed repeated incidents. Observations also revealed unsanitary conditions around exterior grease storage and gaps in loading dock doors, contributing to the pest issue.
A resident with a Foley catheter was not provided proper care, as staff failed to keep the urine collection bag below the bladder, risking urinary tract infections. The resident, with a history of frequent infections, had returned from surgery with a shorter catheter bag, which was improperly handled by staff. Despite awareness of the issue, it was not promptly addressed, leading to a deficiency.
A resident with a Foley catheter and a history of UTIs was on enhanced barrier precautions, requiring staff to wear a mask, gown, and gloves during care. However, a CNA was observed providing care without the required PPE, only wearing gloves. Interviews confirmed the lapse in infection control practices, as the CNA admitted to forgetting the necessary PPE.
The facility failed to maintain an effective pest control program, leading to a widespread rodent infestation across multiple floors and the main kitchen. Residents and staff reported frequent sightings of mice, with droppings found in resident rooms and the kitchen. The infestation was exacerbated by inadequate cleaning practices and improper storage of garbage and kitchen grease. Despite efforts to address the issue, the facility continued to struggle with controlling the rodent problem.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program on the second and third floors, as well as in the main kitchen, resulting in ongoing rodent activity and evidence of infestation. Multiple residents reported frequent sightings of rodents in their rooms and common areas, with some stating they observed rodents daily. Direct observations confirmed the presence of rodent droppings in resident rooms, bathrooms, and dining areas, as well as dead rodents found in traps and containers. In several instances, rodent droppings were found in personal storage areas, such as wardrobes and nightstands, and in food containers, with one resident reporting that rodents had accessed and contaminated their food. Staff interviews corroborated the persistence of the issue, with some staff noting repeated sightings and the need for ongoing cleaning and monitoring. In the main kitchen, rodent droppings were observed in multiple locations, including near sinks, storage bins, and along tray lines. Although food was stored in covered bins, droppings were found on top of bin lids and on the floor in food preparation and storage areas. The exterior of the facility also presented conditions conducive to pest attraction, with a grease dumpster observed to have grease streaks and residue on its lid and sides. Additionally, the loading dock had visible gaps under the garage doors, providing potential entry points for rodents. The facility's pest control policy assigned responsibilities to various departments for cleaning, maintenance, and exclusion, but the ongoing presence of rodents and droppings indicated these measures were not fully effective. Pest control logbooks and exterminator service reports documented repeated rodent sightings and catches in both resident areas and dietary departments over several weeks. Residents and their families reported using personal traps in addition to those provided by the facility, and some residents expressed distress or inconvenience due to the rodent activity. Despite regular visits from an exterminator and efforts to seal entry points, the facility continued to experience rodent pressure, particularly in an older building structure. The deficiency was observed through direct evidence, resident and staff interviews, and review of facility records.
Improper Catheter Care Leads to Deficiency
Penalty
Summary
The facility failed to ensure proper catheter care for a resident with a Foley catheter, leading to a deficiency. The staff did not maintain the urine collection bag below the level of the resident's bladder, which is crucial to prevent urine backflow and potential urinary tract infections. This issue was observed during a bed bath and brief change, where the Certified Nurse Aide lifted the urine collection bag above the resident's torso, causing visible backflow of urine towards the bladder. The resident had a history of frequent urinary tract infections and was at high risk for further infections due to this improper handling. The resident had undergone recent surgery and returned with a urinary catheter bag that had shorter tubing, which was reported by staff but not addressed promptly. The Registered Nurse Nurse Manager acknowledged the issue but did not take immediate action to resolve it. The Infection Control Preventionist was aware of the problem but did not report it further, assuming it would be addressed during surgical follow-up. The surgeon was not informed of the issue until after the surveyor's observation, highlighting a communication breakdown within the facility regarding the resident's catheter care needs.
Plan Of Correction
Plan of Correction: Approved March 6, 2025 Schoellkopf Health Center submits that its policies, systems and procedures related to the resident care and comprehensive quality improvement program for monitoring of resident care are appropriate. Additionally, it is important to make clear that the submission of this Plan of Correction is not to be construed as an admission that the cited deficiencies are accurate or that at the time of the survey Schoellkopf Health Center did not have policies, procedures and systems in place to maintain compliance with federal and state requirements. However, in an effort to enhance the care furnished to our residents, we have improved some of our existing policies, procedures and systems. I.) The following corrective action was accomplished for the deficiency stated: A.) The CNA that provided inadequate Foley care to Resident #2 was termed from her agency employment contract on (MONTH) 11, 2025 prior to notification of this deficiency. Due to concerns that the administrator and director of nursing were made aware, the facility had already placed her and her agency contract on a “watch status” for performance improvement, which was not accomplished. This appears to be an isolated incident with this particular CNA as she is quoted by state surveyor during interview saying she was “aware the bag was supposed to remain below the resident’s bladder to prevent infection.” B.) Resident #2 had a cystoscopy procedure on 2/4/2025, returned same day to facility with a leg bag attached to her thigh below the bladder. RN unit manager contacted the surgeon on 2/10/2025 and obtained orders to remove leg bag and replace with full urinary collection bag. C.) Resident #2 was on 24-hour report for nursing to monitor for any ill effects s/p cystoscopy or s/s of UTI. D.) The CNA did not care for any other residents with a foley. II.) The following corrective actions have been implemented to ensure all CNA staff are aware of proper Foley care as all residents have the potential to be affected by the same practice. A.) All CNA staff will be in-serviced by IP/In-service Coordinator on proper Foley catheter care to help prevent infections. B.) All residents with an indwelling urinary foley identified and they will be monitored for s/s of UTI. III.) The following systemic changes have been implemented to assure continued compliance with regulations. A.) All nursing staff: RN, LPN, and CNA will be required to complete a Relias training titled “Care of a Urinary Catheter” on a yearly basis. B.) IP/In-service Coordinator or designee will audit 1 resident with a foley per week times 4 weeks, then 1 per month times 2 months to ensure competency in emptying procedure. C.) Administrator and Director of Nursing reviewed policy titled “Catheter Care,” remains appropriate and no changes were made to the policy. IV.) The facilities compliance will be monitored utilizing the following QAPI system: A.) IP/In-service Coordinator will track all staff’s compliance with assigned Relias trainings and report results to QAPI committee, which meets quarterly. B.) IP/In-service Coordinator will report audits to the QAPI committee, which meets quarterly. C.) The IP/In-service Coordinator Nurse will be responsible for overall monitoring and evaluation of implemented plans.
Inadequate Use of PPE for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices for a resident on enhanced barrier precautions. The resident, who had a Foley catheter due to obstructive uropathy and a history of urinary tract infections, required staff to wear a mask, gown, and gloves during high-contact care activities to prevent the transmission of multi-drug-resistant organisms. However, during an observation, a Certified Nurse Aide was seen providing care to the resident, including performing a bed bath, emptying a urinary collection bag, and handling soiled linens, while only wearing gloves and not donning the required mask and gown. Interviews with the Certified Nurse Aide, the Infection Control Preventionist, and the Director of Nursing confirmed that the resident was on enhanced barrier precautions and that staff were required to wear the appropriate personal protective equipment. The Certified Nurse Aide admitted to forgetting to wear the gown and mask, which was a deviation from the facility's infection control policy. This oversight was identified during a complaint investigation, highlighting a lapse in adherence to infection prevention protocols.
Plan Of Correction
Plan of Correction: Approved March 6, 2025 Schoellkopf Health Center submits that its policies, systems and procedures related to the resident care and comprehensive quality improvement program for monitoring of resident care are appropriate. Additionally, it is important to make clear that the submission of this Plan of Correction is not to be construed as an admission that the cited deficiencies are accurate or that at the time of the survey Schoellkopf Health Center did not have policies, procedures and systems in place to maintain compliance with federal and state requirements. However, in an effort to enhance the care furnished to our residents, we have improved some of our existing policies, procedures and systems. I.) The following corrective action was accomplished for the deficiency stated: A.) The CNA that provided care to Resident #2 without donning proper PPE was termed from her agency employment contract on (MONTH) 11, 2025 prior to notification of this deficiency. Due to concerns that the administrator and director of nursing were made aware, the facility had already placed her and her agency contract on a “watch status” for performance improvement, which was not accomplished. This appears to be an isolated incident with this particular CNA as she is quoted by state surveyor during interview saying she “forgot.” This CNA was hired through agency on (MONTH) 10, 2024. During her orientation period she passed bathing and incontinence care, including infection control competency. B.) The facility’s policy and procedure to alert staff of transmission-based precautions, including Enhanced Barrier Precautions were followed as evidence by the proper identification and needed PPE was present outside resident’s room. II.) The following corrective actions have been implemented to ensure all CNA staff are aware of proper PPE/hand hygiene/infection prevention control technique during resident bathing and incontinence care, as all residents have the potential to be affected by the same practice. A.) All CNA staff in serviced by the IP/In-service Coordinator on the proper PPE/ hand hygiene/infection prevention technique for residents on EBP. Inservice will address the proper PPE to wear for residents on EBP to promote a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infection. B.) All CNA staff will have a competency evaluation performed by the IP/In-service Coordinator on proper PPE/hand hygiene/infection prevention technique while performing resident bathing and incontinence care. C.) IP/In-service Coordinator or designee will provide individualized instruction/training with any CNAs who do not pass competency. D.) All resident on Enhanced Barrier Precautions identified. RN Unit Manager or designee will interview appropriate residents on EBP to confirm staffs’ compliance with infection control measures as all residents on EBP have potential to be affected by same practice. III.) The following systemic changes have been implemented to assure continued compliance with regulations. A.) In addition to current competency evaluations that the IP/In-service Coordinator or designee performs, all staff will be required to complete a Relias training titled “Infection Control: Enhanced Barrier Precautions,” and “Basics of Personal Protective Equipment” by (MONTH) 1, 2025 and then on a yearly basis. B.) Administrator and Director of Nursing reviewed policy titled “Infection Prevention” remains appropriate and no changes were made to the policy. C.) IP/In-service Coordinator or designee will audit resident’s care performed by a CNA for a resident on EBP. Will complete 1 audit per week times 4 weeks, then 1 per month times 2 months to ensure compliance with infection control measures/PPE. D.) IP/In-service Coordinator or designee will provide individualized instruction/training with any CNAs who do not pass competency. IV.) The facilities compliance will be monitored utilizing the following QAPI system. A.) IP/In-service Coordinator will track all staff’s compliance with assigned Relias trainings and report results to QAPI committee, which meets quarterly. B.) IP/In-service Coordinator will report audits to the QAPI committee, which meets quarterly. C.) The IP/In-service Coordinator Nurse will be responsible for overall monitoring and evaluation of implemented plans.
Rodent Infestation Due to Ineffective Pest Control
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a widespread rodent infestation across multiple floors and the main kitchen. Observations and interviews revealed evidence of rodent droppings and sightings in resident rooms on the First, Second, and Third Floors. Residents and staff reported frequent sightings of mice, with some residents expressing fear and discomfort due to the presence of rodents in their living spaces. The infestation was noted to have started around June 2024, with an increase in sightings reported by residents and staff. In the main kitchen, significant evidence of rodent activity was observed, including droppings found in dry storage areas, under equipment, and around food storage containers. The Food Service Director acknowledged ongoing issues with rodent activity in the kitchen, despite recent efforts to seal entry points and improve food storage practices. The kitchen's cleaning practices were found to be inadequate, with rodent droppings observed in areas that should have been regularly cleaned. The exterior of the facility also contributed to the rodent problem, with garbage and used kitchen grease stored in a manner that attracted rodents. The loading dock door was found propped open, providing easy access for rodents. The facility's garbage compactor was noted to be malfunctioning, leading to the use of an open-top dumpster for regular garbage, further exacerbating the issue. Despite efforts to address the problem, including changing exterminator companies and increasing extermination services, the facility continued to struggle with controlling the rodent infestation.
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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 Niagara Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Niagara Rehabilitation And Nursing Center | 0.3 mi | — | 1 | 0 |
| Our Lady Of Peace Nursing Care Residence | 4.3 mi | — | 0 | 0 |
| Elderwood At Grand Island | 5.1 mi | — | 1 | 0 |
| Elderwood At Wheatfield | 7.3 mi | — | 0 | 0 |
| North Gate Health Care Facility | 9.4 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 August 2026) and official state health department websites.