Inspection Summary

Apr 2022 – Mar 2026
57%
of inspections passed with no issues found
12 of 21 inspections · Apr 2022 – Mar 2026
Inspections with issues
9 of 21 inspections
Total violations cited
14 violations total
What the violations were about
Resident services 8Admission & retention standards 2Records & reports 2Environmental standards 1Provider notification duties 1
In plain language
  • The most recent inspection was on January 6, 2026 (complaint survey) and found no violations.
  • Across 21 inspections in the current reporting window, 12 found no violations at all; inspectors cited 14 violations in total.
  • Of the 21 visits in this window, 17 were prompted by complaints and 4 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
560-S-002
County
Oswego
Phone
(315) 349-0799
Operated By
Bishop's Commons, 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.
January 6, 2026 Complaint Survey 0 Violations
▼

✓ No violations found

November 5, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

October 22, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

September 30, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

September 5, 2025 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 488.10 (e) (1)
Plan/Notice of Correction Approved
August 5, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

July 10, 2025 Relicensure, Complaint, Follow-up Survey 0 Violations
▼

✓ No violations found

April 2, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

March 25, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

February 27, 2025 Relicensure, Complaint Survey 2 Violations
▼
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
January 13, 2025 Complaint Survey 1 Violation
▼
Resident services
Regulation cited: CFR 488.7 (e) (2)
Plan/Notice of Correction Approved
October 30, 2024 Complaint Survey 1 Violation
▼
Resident services
Regulation cited: CFR 488.7 (b) (1) (i)
Plan/Notice of Correction Approved
September 19, 2024 Relicensure, Follow-up Survey 1 Violation
▼
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
June 5, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

April 19, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

April 5, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

March 21, 2024 Relicensure Survey 1 Violation
▼
Responsibilities of providers; required notif
Regulation cited: CFR 402.9(a)(1)
Plan/Notice of Correction Approved
October 3, 2023 Relicensure, Complaint, Follow-up Survey 1 Violation
▼
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
September 29, 2023 Complaint Survey 0 Violations
▼

✓ No violations found

April 7, 2023 Relicensure, Complaint Survey 5 Violations
▼
Admission and retention standards
Regulation cited: CFR 488.4 (c) (9)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (6)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (8) (i-iii)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Plan/Notice of Correction Approved
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 10, 2025
Stipulation & Order
#ACF-25-002