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Assisted living / New York / Fredonia

Southern Tier Meadows

4883 West Main Road, Fredonia, NY 14063 · Chautauqua County · (716) 679-4883

Adult home · licensed for 24 residents · Licensed since 1985 · Operator: Southern Tier Environments for Living, Inc.

12inspections, 2022 to 2026
21violations cited, 2022 to 2026
0enforcement actions
24licensed capacity

New York State Department of Health data as of October 8, 2026 · Certificate 060-E-038 · See the state record

The record in brief

Southern Tier Meadows is an adult home, one of the two kinds of adult care facility New York licenses, with 24 beds on its operating certificate.

Between April 1, 2022 and March 31, 2026 the Department of Health cited 21 violations from 12 inspections; the latest report was issued on March 4, 2026.

The state lists no enforcement actions against the operator in that period.

State inspections

The Department of Health's own summary: "A total of 21 violations resulted from 12 inspections of this facility from April 1, 2022 through March 31, 2026, including 6 inspections resulting in no violations."

March 4, 2026Relicensure Survey · 6 violations · Plan/Notice of Correction Under Review
  1. §
    Admission standards
    18 NYCRR 487.4 (h)(1)
  2. §
    Admission standards
    18 NYCRR 487.4 (i)
  3. §
    Resident services
    18 NYCRR 487.7 (f) (5)
  4. §
    Personnel
    18 NYCRR 487.9 (a) (3)
  5. §
    Environmental standards
    18 NYCRR 487.11 (k) (11)
  6. §
    Disaster and emergency planning
    18 NYCRR 487.12 (a-b)
January 21, 2026Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
January 8, 2026Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
September 23, 2025Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
August 5, 2025Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
April 8, 2025Complaint Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Admission standards
    18 NYCRR 487.4 (a)
September 9, 2024Relicensure Survey · 11 violations · Plan/Notice of Correction Approved
  1. §
    General requirements
    18 NYCRR 402.4(a)(1)
  2. §
    Admission standards
    18 NYCRR 487.4 (h)(1)
  3. §
    Admission standards
    18 NYCRR 487.4(f)-(g)
  4. §
    Resident services
    18 NYCRR 487.7 (d) (12-13)
  5. §
    Resident services
    18 NYCRR 487.7 (f) (11) (iii)
  6. §
    Personnel
    18 NYCRR 487.9 (a) (3)
  7. §
    Personnel
    18 NYCRR 487.9 (j) (3-4)
  8. §
    Records and reports
    18 NYCRR 487.10 (f)
  9. §
    Environmental standards
    18 NYCRR 487.11 (a)
  10. §
    Environmental standards
    18 NYCRR 487.11 (b) (1-2)
  11. §
    Disaster and emergency planning
    18 NYCRR 487.12 (a-b)
July 10, 2024Complaint Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Admission standards
    18 NYCRR 487.4 (c) (5)
November 14, 2022Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
November 14, 2022Complaint Survey · 0 violations · Plan/Notice of Correction Not Required
May 19, 2022Other Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Records and reports
    18 NYCRR 485.11 (b)
May 19, 2022Other Survey · 1 violation · Plan/Notice of Correction Approved
  1. §
    Records and reports
    18 NYCRR 485.11 (b)

Enforcement actions

The state lists no enforcement actions against the operator from April 1, 2022 to March 31, 2026.

Violations under dispute through the state's Inspection Review Process are not shown by the state. Regulation sections are Title 18 of New York's codes (NYCRR). Source: NYS Health Profiles.

Memory care

No assisted living, enhanced or special needs certification is on this home's certificate in the state file.

Southern Tier Meadows has no special needs (SNALR) or dementia beds on its certificate, so New York has not certified it for memory care. What memory care certification means.

A special needs assisted living residence (SNALR) serves people with special needs, including people with dementia or cognitive impairments, under an individualized service plan.health.ny.gov

An enhanced assisted living residence (EALR) lets residents age in place: it may admit or keep residents who need another person's physical help to walk or use stairs, depend on medical equipment and need frequent help from medical staff, or have chronic unmanaged incontinence.health.ny.gov

Costs

Southern Tier Meadows is not a licensed assisted living residence, so New York's posted-rate rule does not apply to it. Ask the home for its full rate sheet, including care level fees and any one-time community fee, before you sign.

Assisted living residents in New York have the right to written notice of any fee increase at least 45 days before it takes effect, unless they agree in writing to a specific increase for added care, services or supplies.health.ny.gov

Under Public Health Law section 4656(7), signed February 14, 2025, an assisted living residence must post its monthly service rate and starting rent range in the facility and online.health.ny.gov

Who runs it

Operator in the state file: Southern Tier Environments for Living, Inc. (a not-for-profit corporation).

Other assisted living nearby

Nursing homes nearby

For care beyond what assisted living provides. Each has a federal inspection record on this site.

If you have a concern

NursingHomeClear cannot take or act on complaints. New York's Department of Health investigates complaints about licensed homes, and the long-term care ombudsman is a free, confidential advocate for residents.

New York's ombudsman program advocates for older adults and people with disabilities who live in nursing homes, assisted living and other licensed adult care homes.aging.ny.gov

To reach a New York long-term care ombudsman, call 1-855-582-6769.aging.ny.gov

Common questions

Is Southern Tier Meadows licensed?
New York's Department of Health lists it as licensed, certificate 060-E-038, adult home, since June 10, 1985 (state data as of October 8, 2026).
How many residents can Southern Tier Meadows care for?
Its licence is for 24 residents.
Has Southern Tier Meadows had violations?
21 violations from 12 inspections from April 1, 2022 to March 31, 2026, per the New York State Department of Health.
Does Southern Tier Meadows offer memory care?
Its operating certificate carries no special needs (SNALR) or dementia bed certification in the state file.

Sources

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