Inspection Summary

Oct 2021 – Sep 2025
29%
of inspections passed with no issues found
2 of 7 inspections · Oct 2021 – Sep 2025
Inspections with issues
5 of 7 inspections
Total violations cited
20 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 23, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Under Review
August 5, 2025 Complaint Survey 0 Violations

✓ No violations found

June 2, 2025 Complaint Survey 6 Violations
Personnel
Regulation cited: CFR 488.9 (a) (1)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
September 19, 2024 Relicensure, Complaint Survey 8 Violations
Responsibilities of providers; required notif
Regulation cited: CFR 402.9(a)(1)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 488.3 (f) (2)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (l)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Under Review
August 21, 2023 Complaint Survey 1 Violation
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
December 1, 2022 Complaint Survey 4 Violations
Resident services
Regulation cited: CFR 488.7 (b) (1) (i)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
September 9, 2021 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.
May 12, 2025
Stipulation & Order
#ACF-25-032