Inspection Summary

Oct 2021 – Sep 2025
67%
of inspections passed with no issues found
10 of 15 inspections · Oct 2021 – Sep 2025
Inspections with issues
5 of 15 inspections
Total violations cited
25 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
August 18, 2025 Relicensure Survey 8 Violations
Requirements before submitting a request for
Regulation cited: CFR 402.5(c)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (i)
Plan/Notice of Correction Under Review
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (k) (14)
Plan/Notice of Correction Under Review
July 24, 2025 Complaint Survey 0 Violations

✓ No violations found

June 23, 2025 Complaint Survey 0 Violations

✓ No violations found

May 14, 2025 Complaint Survey 0 Violations

✓ No violations found

March 25, 2025 Relicensure, Follow-up Survey 2 Violations
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (14)
Plan/Notice of Correction Approved
October 31, 2024 Other Survey 0 Violations

✓ No violations found

September 30, 2024 Relicensure Survey 11 Violations
Admission standards
Regulation cited: CFR 487.4 (k)
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 (f) (5)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
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) (13)
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
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
August 26, 2024 Complaint Survey 0 Violations

✓ No violations found

August 20, 2024 Complaint Survey 0 Violations

✓ No violations found

July 1, 2024 Complaint Survey 2 Violations
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
February 14, 2024 Complaint Survey 0 Violations

✓ No violations found

January 26, 2024 Complaint Survey 0 Violations

✓ No violations found

April 10, 2023 Relicensure, Complaint Survey 2 Violations
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Approved
January 20, 2022 Complaint Survey 0 Violations

✓ No violations found

March 6, 2023 Complaint Survey 0 Violations

✓ No violations found

Enforcement & Orders

Oct 2021 – Sep 2025
2 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
September 4, 2025
Stipulation & Order
#ACF-25-051
February 20, 2025
Stipulation & Order
#ACF-25-014