Inspection Summary

Oct 2021 – Sep 2025
68%
of inspections passed with no issues found
17 of 25 inspections · Oct 2021 – Sep 2025
Inspections with issues
8 of 25 inspections
Total violations cited
13 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
July 24, 2025 Complaint Survey 0 Violations

✓ No violations found

June 10, 2025 Complaint Survey 1 Violation
Operating certificates
Regulation cited: CFR 485.5 (g)
Plan/Notice of Correction Approved
May 19, 2025 Relicensure, Follow-up Survey 1 Violation
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
May 14, 2025 Complaint Survey 3 Violations
Operating certificates
Regulation cited: CFR 485.5 (g)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
May 19, 2025 Complaint Survey 0 Violations

✓ No violations found

March 5, 2025 Complaint Survey 1 Violation
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
December 5, 2024 Complaint Survey 0 Violations

✓ No violations found

November 14, 2024 Relicensure Survey 2 Violations
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Records and reports.
Regulation cited: CFR 1001.12 (b) (1-7)
Plan/Notice of Correction Approved
October 7, 2024 Complaint Survey 0 Violations

✓ No violations found

July 8, 2024 Complaint Survey 0 Violations

✓ No violations found

May 23, 2024 Complaint Survey 0 Violations

✓ No violations found

April 15, 2024 Complaint Survey 0 Violations

✓ No violations found

March 27, 2024 Other Survey 0 Violations

✓ No violations found

March 29, 2024 Complaint Survey 1 Violation
Supervision in special needs assisted living.
Regulation cited: CFR 1001.10 (n) (5) (i-iii)
Plan/Notice of Correction Approved
March 1, 2024 Other Survey 0 Violations

✓ No violations found

February 12, 2024 Complaint Survey 0 Violations

✓ No violations found

January 16, 2024 Complaint Survey 0 Violations

✓ No violations found

January 5, 2024 Complaint Survey 0 Violations

✓ No violations found

June 1, 2023 Relicensure, Complaint Survey 1 Violation
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
May 24, 2023 Complaint Survey 0 Violations

✓ No violations found

May 26, 2022 Complaint Survey 0 Violations

✓ No violations found

April 26, 2022 Complaint Survey 0 Violations

✓ No violations found

August 9, 2022 Complaint Survey 0 Violations

✓ No violations found

December 13, 2021 Complaint Survey 3 Violations
General requirements
Regulation cited: CFR 402.4(b)(1)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (ix)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
January 5, 2022 Other Survey 0 Violations

✓ No violations found

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
December 3, 2021
Stipulation & Order
#ACF-21-115