Inspection Summary

Oct 2021 – Sep 2025
35%
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 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
April 24, 2025 Relicensure, Complaint Survey 13 Violations
Operating certificates
Regulation cited: CFR 485.5 (g)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (v)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (f) (8)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (h) (11)
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) (8)
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) (15)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
March 5, 2025 Other Survey 0 Violations

✓ No violations found

March 13, 2025 Complaint Survey 0 Violations

✓ No violations found

January 17, 2025 Complaint Survey 2 Violations
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (b) (1-2)
Plan/Notice of Correction Approved
January 8, 2025 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
February 14, 2025 Complaint Survey 0 Violations

✓ No violations found

September 4, 2024 Complaint Survey 2 Violations
Personnel
Regulation cited: CFR 487.9 (a) (1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
October 21, 2024 Complaint Survey 0 Violations

✓ No violations found

December 6, 2023 Complaint Survey 2 Violations
Resident protections
Regulation cited: CFR 487.5 (f) (3)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
July 26, 2023 Complaint Survey 1 Violation
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
January 23, 2023 Complaint Survey 1 Violation
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Plan/Notice of Correction Approved
May 10, 2023 Relicensure, Complaint Survey 7 Violations
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 services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (8)
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) (1-3)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
May 1, 2023 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
May 12, 2022 Complaint Survey 0 Violations

✓ No violations found

March 23, 2022 Complaint Survey 0 Violations

✓ No violations found

February 24, 2022 Complaint Survey 3 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (ix)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
August 23, 2021 Complaint Survey 1 Violation
Personnel.
Regulation cited: CFR 1001.11 (b)
Plan/Notice of Correction Approved
July 20, 2021 Complaint Survey 1 Violation
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
February 9, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
December 28, 2021 Complaint, Follow-up Survey 0 Violations

✓ No violations found

July 20, 2021 Complaint, Follow-up Survey 1 Violation
Inspection and enforcement
Regulation cited: CFR 1001.15 (f) (1)
Plan/Notice of Correction Approved
October 6, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
July 20, 2021 Complaint 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.
July 2, 2024
Stipulation & Order
#ACF-24-022