Assisted Living
Southern Tier Meadows
4883 West Main Road, Fredonia, NY 14063 · Map
Licensed for 24 residents · Southern Tier Environments for Living, Inc.
Southern Tier Meadows is a state-licensed assisted living community in Fredonia, New York. It is licensed for 24 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 24 residents
Adult Home 060-E-038, current license dated Jun 10, 1985. Licensee Southern Tier Environments for Living, Inc..
Nearest emergency room
4.8 miles
Brooks-Tlc Hospital System, Inc, rated 1 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Southern Tier Meadows this community | 24 | Not published | Active | 21 violations, 0 enforcement actions | |
| Fredonia Place | 2.7 mi | 84 | Not published | Active | 6 violations, 0 enforcement actions |
| Hultquist Place | 22.8 mi | 96 | Not published | Active | 6 violations, 0 enforcement actions |
| Memory Garden | 22.9 mi | 56 | Not published | Active | 17 violations, 1 enforcement actions |
| Tanglewood Manor | 22.9 mi | 158 | Not published | Active | 20 violations, 0 enforcement actions |
State inspection record21 violations, 0 enforcement actions
- Last inspection report
- March 4, 2026
- Inspections
- 12, 21 violations cited
- Complaint inspections
- 8, 2 violations cited
- Enforcement actions
- 0
Inspection reports
- March 4, 2026, relicensure survey: 6 violations (Admission standards, Medication management, Personnel, Maintenance, Disaster and emergency planning) Plan/Notice of Correction Under Review
- January 21, 2026, complaint survey: 0 violations Plan/Notice of Correction Not Required
- January 8, 2026, complaint survey: 0 violations Plan/Notice of Correction Not Required
- September 23, 2025, complaint survey: 0 violations Plan/Notice of Correction Not Required
- August 5, 2025, complaint survey: 0 violations Plan/Notice of Correction Not Required
Show all 9
- April 8, 2025, complaint survey: 1 violation (Admission standards) Plan/Notice of Correction Approved
- September 9, 2024, relicensure survey: 11 violations (General requirements, Admission standards, Supervision, Medication management, Personnel, Food service, Mandated forms, Environmental standards, Disaster and emergency planning) Plan/Notice of Correction Approved
- July 10, 2024, complaint survey: 1 violation (Admission standards) Plan/Notice of Correction Approved
- and 4 more on the state’s site
Read the full record on the state’s site →
DOH: “The Department conducts inspections for certification purposes every 12 to 18 months at each ACF, as well as follow-up inspections to ensure that any previously cited deficiencies are corrected. Additional investigations are conducted as a result of complaints and incident reports received by the Department.” DOH: “Violations under dispute through the Inspection Review Process (IRP) are not displayed.” Under 18 NYCRR Part 486, DOH may assess civil penalties against an adult care facility for violating its regulations. This community is certified for 24 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Inspection reports themselves are not online; you can request copies from DOH (how to request reports), and each facility must post its most recent report in a public area. Source: New York State Department of Health, Division of Adult Care Facilities and Assisted Living Surveillance, NYS Health Profiles, data as of October 15, 2026, covering April 1, 2022 through March 31, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee Southern Tier Environments for Living, Inc.
- License type
- Adult Home
- License number
- 060-E-038
- License status
- Active
- Current license dated
- 1985-06-10
- Licensed capacity
- 24
- Licensee
- Southern Tier Environments for Living, Inc.
- County
- Chautauqua County
Source: New York state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in New York, and other programs
How Medicaid pays for care in New York
- Assisted Living Program (ALP). Medicaid can pay for services through the Assisted Living Program (ALP), which is only for people who qualify for nursing home care. Medicaid recipients must have ALP services approved ahead of time by the local social services district. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 4.8 mi, nursing home 3.9 mi, pharmacy 5.2 mi
- Nearest hospital with an emergency room
- Brooks-Tlc Hospital System, Inc, Dunkirk. 4.8 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Chautauqua Nursing and Rehabilitation Center, Dunkirk. 3.9 miles away, straight line.
- Nearest home health agency office
- Community Nursing Services Of North East, North East. 27.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 5.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 14063 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Dunkirk Dialysis, Dunkirk, 4.2 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 14063.
Chautauqua Hospice And Palliative Care, office in Lakewood, 22.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Regional Health Services Inc, Erie. 41.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective December 18, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, coastal flooding very low, wildfire relatively low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in March 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked14 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| New York State Department of Health, Division of Adult Care Facilities and Assisted Living Surveillance inspection records | Oct 15, 2026 | See above |
| New York Medicaid provider list | Jun 30, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Southern Tier Meadows provide?
Southern Tier Meadows is licensed by the state of New York for assisted living in Fredonia, New York. Its licensed capacity is 24 residents.
Does Lilisity rate Southern Tier Meadows?
No. We publish state licensing details for Southern Tier Meadows but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Southern Tier Meadows cost?
Assisted Living in New York typically starts at $4,800 to $7,950 a month. Based on 80 communities that publish prices. These are area figures, not this community's price. Southern Tier Meadows does not publish its prices.
How do I contact Southern Tier Meadows?
Visit Southern Tier Meadows at 4883 West Main Road, Fredonia, NY 14063.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid