NY DOH Assisted Living Facility — Inspection Report

The Mansion at South Union

📍 11 South Union Street, Cambridge, NY 12816

Inspection Summary

Oct 2021 – Sep 2025
43%
of inspections passed with no issues found
9 of 21 inspections · Oct 2021 – Sep 2025
Inspections with issues
12 of 21 inspections
Total violations cited
74 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 9, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

August 15, 2025 Relicensure Survey 29 Violations
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General requirements
Regulation cited: CFR 402.4(b)(2)(i)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (h)(1)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (f) (3)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
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 (f) (1-4)
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) (i-v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (vii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (12) (ii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (i)
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 (c)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (d) (4,8,10-11)
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) (15)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (c) (4)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (g)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (a)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (15)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (i)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (h) (1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (3)
Plan/Notice of Correction Approved
Structural and environmental standards.
Regulation cited: CFR 1001.13 (b)(5), (b)(6)(1-12)
Plan/Notice of Correction Approved
July 1, 2025 Complaint Survey 2 Violations
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Resident protections
Regulation cited: CFR 487.5 (f) (10-11)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
June 23, 2025 Complaint Survey 5 Violations
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General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
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 (j) (1)
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
June 23, 2025 Complaint Survey 0 Violations
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✓ No violations found

February 7, 2025 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
January 3, 2025 Complaint Survey 0 Violations
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✓ No violations found

October 9, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

September 24, 2024 Complaint Survey 0 Violations
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✓ No violations found

August 6, 2024 Relicensure, Complaint Survey 21 Violations
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Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (i)
Plan/Notice of Correction Approved
Resident funds and valuables
Regulation cited: CFR 487.6 (c) (12)
Plan/Notice of Correction Approved
Resident funds and valuables
Regulation cited: CFR 487.6 (f) (1)
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 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (3)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (c)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (d) (4,8,10-11)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (3)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (g)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (a)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (7)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (16)
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 (h) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (14)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Plan/Notice of Correction Approved
June 10, 2024 Complaint Survey 0 Violations
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✓ No violations found

August 24, 2023 Complaint Survey 0 Violations
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✓ No violations found

June 16, 2023 Complaint Survey 1 Violation
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Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
April 20, 2023 Complaint Survey 1 Violation
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Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
May 3, 2023 Relicensure Survey 0 Violations
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✓ No violations found

December 6, 2022 Complaint Survey 4 Violations
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Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (f) (3)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
October 19, 2022 Complaint Survey 1 Violation
▼
Resident services
Regulation cited: CFR 487.7 (g) (3)
Plan/Notice of Correction Approved
August 5, 2022 Complaint Survey 1 Violation
▼
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
July 20, 2022 Relicensure, Complaint Survey 7 Violations
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General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
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) (14-15)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) ((4) (i),(
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
April 29, 2022 Complaint Survey 0 Violations
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✓ No violations found

September 14, 2021 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
2 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
March 13, 2025
Stipulation & Order
#ACF-25-024
December 15, 2023
Stipulation & Order
#ACF-24-001