The lower 3.5 km of Eighteenmile Creek, a tributary to Lake Ontario in New York, was designated as an Area of Concern (AOC) in 1985 under the Great Lakes Water Quality Agreement due to extensive contamination of bed sediments by polychlorinated biphenyls (PCBs) and other toxicants. Five beneficial use impairments (BUIs) have been identified in this AOC, including degraded fish and wildlife populations. We surveyed fish communities in the Eighteenmile Creek AOC and in a comparable section of a nearby reference stream (Oak Orchard Creek) during June 2019 to infer whether legacy contaminants are currently impairing fish communities in the AOC to an extent that they differ from the regional reference condition. Estimates of community abundance, biomass, diversity, and fish condition from each system were compared using a noninferiority testing framework. Biomass, diversity, and fish condition in the Eighteenmile Creek AOC were similar or superior to that in Oak Orchard Creek, while abundance was 20% lower in the AOC. These findings and those of a 2007 sampling effort suggest that fish communities in the Eighteenmile Creek AOC are not impaired despite recent studies indicating that PCBs are bioaccumulating in fish tissues at 1–2 orders of magnitude above background levels. Future assessments in the Eighteenmile Creek AOC might focus on the condition of benthic macroinvertebrate communities and potential toxicity of local contaminants to piscivorous wildlife in order to fully address the remaining aspects of the fish and wildlife populations beneficial use impairment.