Inspection Summary

Oct 2021 – Sep 2025
17%
of inspections passed with no issues found
2 of 12 inspections · Oct 2021 – Sep 2025
Inspections with issues
10 of 12 inspections
Total violations cited
37 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
July 2, 2025 Other Survey 0 Violations

✓ No violations found

June 12, 2025 Complaint, Follow-up Survey 1 Violation
Personnel
Regulation cited: CFR 487.9 (a) (1)
Plan/Notice of Correction Approved
February 13, 2025 Complaint Survey 17 Violations
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
Civil penalties
Regulation cited: CFR 486.5 (a) (4) (v)
Plan/Notice of Correction Approved
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (d) (1)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (11)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (c)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (f-g)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (h)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 494.4 (k)
Plan/Notice of Correction Approved
December 3, 2024 Complaint Survey 0 Violations

✓ No violations found

August 28, 2024 Complaint Survey 1 Violation
Personnel
Regulation cited: CFR 487.9 (a) (16)
Plan/Notice of Correction Approved
January 8, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
June 21, 2024 Complaint Survey 4 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (8)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (d) (2)
Plan/Notice of Correction Approved
January 3, 2024 Relicensure, Complaint Survey 9 Violations
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Approved
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
November 1, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
February 9, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
November 1, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
October 1, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
June 30, 2025
Stipulation & Order
#ACF-25-038