Inspection Summary

Oct 2021 – Sep 2025
52%
of inspections passed with no issues found
12 of 23 inspections · Oct 2021 – Sep 2025
Inspections with issues
11 of 23 inspections
Total violations cited
27 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
April 23, 2025 Relicensure, Complaint, Follow-up Survey 1 Violation
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Approved
April 23, 2025 Complaint Survey 0 Violations

✓ No violations found

November 26, 2024 Complaint Survey 0 Violations

✓ No violations found

October 30, 2024 Relicensure, Complaint Survey 11 Violations
Requirements before submitting a request for
Regulation cited: CFR 402.5(c)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (m)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (j)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
September 16, 2024 Complaint Survey 0 Violations

✓ No violations found

September 19, 2024 Complaint Survey 0 Violations

✓ No violations found

June 21, 2024 Complaint Survey 0 Violations

✓ No violations found

May 16, 2024 Complaint Survey 0 Violations

✓ No violations found

May 16, 2024 Relicensure, Follow-up Survey 0 Violations

✓ No violations found

May 10, 2024 Complaint Survey 1 Violation
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
May 1, 2024 Complaint Survey 1 Violation
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
April 3, 2024 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
March 1, 2024 Complaint Survey 0 Violations

✓ No violations found

February 13, 2024 Complaint Survey 0 Violations

✓ No violations found

November 29, 2023 Relicensure Survey 2 Violations
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
June 20, 2023 Complaint Survey 4 Violations
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (iii)
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)(1)
Plan/Notice of Correction Approved
July 20, 2023 Complaint Survey 1 Violation
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
June 5, 2023 Relicensure, Complaint, Follow-up Survey 1 Violation
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
December 13, 2022 Relicensure, Complaint Survey 3 Violations
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
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) (8)
Plan/Notice of Correction Approved
February 1, 2022 Complaint Survey 0 Violations

✓ No violations found

October 21, 2021 Complaint Survey 0 Violations

✓ No violations found

May 3, 2022 Complaint Survey 0 Violations

✓ No violations found

October 14, 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 10, 2024
Stipulation & Order
#ACF-24-020