Inspection Summary

Oct 2021 – Sep 2025
29%
of inspections passed with no issues found
5 of 17 inspections · Oct 2021 – Sep 2025
Inspections with issues
12 of 17 inspections
Total violations cited
35 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
June 11, 2025 Relicensure, Complaint Survey 2 Violations
Requirements before submitting a request for
Regulation cited: CFR 402.5(c)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (15)
Plan/Notice of Correction Approved
January 31, 2025 Other Survey 1 Violation
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
December 20, 2024 Complaint Survey 0 Violations

✓ No violations found

October 11, 2024 Complaint Survey 0 Violations

✓ No violations found

June 25, 2024 Relicensure, Follow-up Survey 0 Violations

✓ No violations found

May 7, 2024 Complaint Survey 0 Violations

✓ No violations found

January 24, 2024 Relicensure Survey 4 Violations
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (6)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
January 18, 2024 Other Survey 1 Violation
Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
July 31, 2023 Relicensure, Follow-up Survey 1 Violation
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
June 8, 2023 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (1) (i)
Plan/Notice of Correction Approved
February 3, 2023 Relicensure Survey 14 Violations
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (1-4)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (c) (8)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (j) (3-4)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (g)
Plan/Notice of Correction Approved
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (6)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (l) (1-2)
Plan/Notice of Correction Approved
October 13, 2022 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 (d) (1) (i)
Plan/Notice of Correction Approved
April 26, 2022 Complaint Survey 1 Violation
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
January 31, 2022 Other Survey 6 Violations
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (a)
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 (d) (6) (iii)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
November 1, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
May 16, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (1) (i)
Plan/Notice of Correction Approved
October 25, 2021 Other 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.
April 8, 2024
Stipulation & Order
#ACF-24-006