Inspection Summary

Apr 2022 – Mar 2026
50%
of inspections passed with no issues found
4 of 8 inspections · Apr 2022 – Mar 2026
Inspections with issues
4 of 8 inspections
Total violations cited
6 violations total
What the violations were about
Environmental standards 4Admission & retention standards 1Records & reports 1
In plain language
  • The most recent inspection was on December 17, 2025 (relicensure survey) and found 3 violations.
  • Across 8 inspections in the current reporting window, 4 found no violations at all; inspectors cited 6 violations in total.
  • Of the 8 visits in this window, 3 were prompted by complaints and 5 were routine or other surveys.
  • The state has 1 formal enforcement action on record for this facility.

A violation is a rule breach noted by a state inspector. Most are administrative and get corrected through an approved plan of correction; the sections below show exactly what was cited and the status of each correction plan.

Provider Information

Type
Enriched Housing Program
Operating Certificate
520-S-121
County
Onondaga
Phone
(315) 452-1207
Operated By
Loretto Adult Community, Inc.
DOH Regional Office
Central New York Regional Office

Inspection Details

Apr 2022 – Mar 2026
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
December 17, 2025 Relicensure Survey 3 Violations
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (3)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (6)
Plan/Notice of Correction Approved
September 19, 2025 Complaint Survey 0 Violations

✓ No violations found

January 9, 2025 Relicensure, Follow-up Survey 0 Violations

✓ No violations found

September 24, 2024 Complaint Survey 1 Violation
Admission and retention standards
Regulation cited: CFR 488.4 (c) (9)
Plan/Notice of Correction Approved
June 27, 2024 Relicensure Survey 1 Violation
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Approved
January 25, 2024 Complaint Survey 0 Violations

✓ No violations found

June 1, 2023 Relicensure Survey 0 Violations

✓ No violations found

November 1, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 488.10 (e) (4)
Plan/Notice of Correction Approved

Enforcement & Orders

Apr 2022 – Mar 2026
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
January 30, 2023
Stipulation & Order
#ACF-23-002