Inspection Summary
Oct 2021 – Sep 202535%
of inspections passed with no issues found
8 of 23 inspections · Oct 2021 – Sep 2025
Inspections with issues
15 of 23 inspections
Total violations cited
38 violations total
Inspection Details
Oct 2021 – Sep 2025ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
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Operating certificates
Regulation cited: CFR 485.5 (g)
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Admission standards
Regulation cited: CFR 487.4 (a)
Resident services
Regulation cited: CFR 487.7 (d) (1) (v)
Food service
Regulation cited: CFR 487.8 (e) (1)
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Environmental standards
Regulation cited: CFR 487.11 (h) (11)
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Environmental standards
Regulation cited: CFR 487.11 (k) (8)
Environmental standards
Regulation cited: CFR 487.11 (k) (13)
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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✓ No violations found
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✓ No violations found
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Food service
Regulation cited: CFR 487.8 (e) (1)
Environmental standards
Regulation cited: CFR 487.11 (b) (1-2)
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Resident services
Regulation cited: CFR 487.7 (d) (11)
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✓ No violations found
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Personnel
Regulation cited: CFR 487.9 (a) (1)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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✓ No violations found
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Resident protections
Regulation cited: CFR 487.5 (f) (3)
Resident services
Regulation cited: CFR 487.7 (d) (11)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
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Operating certificates
Regulation cited: CFR 485.5 (f)
General provisions
Regulation cited: CFR 487.3 (b)
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Resident services
Regulation cited: CFR 487.7 (f) (8)
Food service
Regulation cited: CFR 487.8 (e) (1)
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
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✓ No violations found
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✓ No violations found
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Admission standards
Regulation cited: CFR 487.4 (a)
Resident protections
Regulation cited: CFR 487.5 (a) (3) (ix)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Personnel.
Regulation cited: CFR 1001.11 (b)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Records and reports
Regulation cited: CFR 487.10 (e) (2)
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✓ No violations found
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Inspection and enforcement
Regulation cited: CFR 1001.15 (f) (1)
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Records and reports
Regulation cited: CFR 485.11 (b)
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✓ No violations found
Enforcement & Orders
Oct 2021 – Sep 20251 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
July 2, 2024
Stipulation & Order
#ACF-24-022