Inspection Summary

Oct 2021 – Sep 2025
38%
of inspections passed with no issues found
5 of 13 inspections · Oct 2021 – Sep 2025
Inspections with issues
8 of 13 inspections
Total violations cited
47 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 12, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (1) (i)
Plan/Notice of Correction Approved
August 15, 2025 Complaint Survey 0 Violations

✓ No violations found

April 16, 2025 Other Survey 1 Violation
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
March 6, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
February 4, 2025 Relicensure Survey 19 Violations
General provisions
Regulation cited: CFR 487.3 (b)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
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) (vi)
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) (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) (1-2)
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) (7)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (9-10,19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (11-12)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (j) (1-3)
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 (f)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (k) (1-4)
Plan/Notice of Correction Approved
December 14, 2023 Relicensure Survey 6 Violations
Department criminal history review
Regulation cited: CFR 402.7(d)(1)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (k)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (12) (ii)
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 (k) (15)
Plan/Notice of Correction Approved
August 17, 2023 Complaint Survey 1 Violation
Disaster and emergency planning
Regulation cited: CFR 487.12 (h)
Plan/Notice of Correction Approved
April 20, 2023 Relicensure, Follow-up Survey 1 Violation
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
April 20, 2023 Complaint Survey 0 Violations

✓ No violations found

September 29, 2022 Other Survey 0 Violations

✓ No violations found

March 10, 2022 Complaint Survey 0 Violations

✓ No violations found

February 11, 2022 Relicensure Survey 17 Violations
General requirements
Regulation cited: CFR 402.4(a)(1)
Plan/Notice of Correction Approved
General requirements
Regulation cited: CFR 402.4(b)(2)(i)
Plan/Notice of Correction Approved
Responsibilities of providers; required notif
Regulation cited: CFR 402.9(c)
Plan/Notice of Correction Approved
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
Resident protections
Regulation cited: CFR 487.5 (d) (1)
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) (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 (e) (1)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (3)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (5)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (c) (15,17-18)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (j) (3-4)
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 (i) ((4) (i),(
Plan/Notice of Correction Approved
January 19, 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 16, 2021
Stipulation & Order
#ACF-21-140