Inspection Summary
Apr 2022 – Mar 202665%
of inspections passed with no issues found
15 of 23 inspections · Apr 2022 – Mar 2026
Inspections with issues
8 of 23 inspections
Total violations cited
25 violations total
What the violations were about
Resident services 10Resident protections 4Environmental standards 3Records & reports 3Admission standards 2Admission & retention standards 1Personnel 1Resident funds & valuables 1
In plain language
- The most recent inspection was on February 4, 2026 (relicensure survey) and found 12 violations.
- Across 23 inspections in the current reporting window, 15 found no violations at all; inspectors cited 25 violations in total.
- Of the 23 visits in this window, 21 were prompted by complaints and 2 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
Adult Home
Operating Certificate
330-E-005
County
Jefferson
Phone
(315) 782-6800
Operated By
Samaritan Senior Village, Inc.
DOH Regional Office
Central New York Regional Office
Inspection Details
Apr 2022 – Mar 2026ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
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Resident protections
Regulation cited: CFR 487.5 (d) (1)
Resident protections
Regulation cited: CFR 487.5 (d) (6)
Resident funds and valuables
Regulation cited: CFR 487.6 (c) (12)
Resident services
Regulation cited: CFR 487.7 (d) (11)
Resident services
Regulation cited: CFR 487.7 (f) (5)
Resident services
Regulation cited: CFR 487.7 (f) (8)
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Records and reports
Regulation cited: CFR 487.10 (d) (1-2)
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Environmental standards
Regulation cited: CFR 487.11 (l) (1)
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Resident services
Regulation cited: CFR 487.7 (f) (5)
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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Resident services
Regulation cited: CFR 487.7 (f) (5)
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Admission standards
Regulation cited: CFR 487.4 (c) (9)
Resident protections
Regulation cited: CFR 487.5 (d) (6)
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Resident services
Regulation cited: CFR 487.7 (e) (6)
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
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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 (c) (5)
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✓ No violations found
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Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
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Personnel
Regulation cited: CFR 487.9 (a) (15)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
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Resident protections
Regulation cited: CFR 487.5 (f) (4-5)
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
Enforcement & Orders
Apr 2022 – Mar 20261 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
August 8, 2025
Stipulation & Order
#ACF-25-047