Inspection Summary

Oct 2021 – Sep 2025
43%
of inspections passed with no issues found
9 of 21 inspections · Oct 2021 – Sep 2025
Inspections with issues
12 of 21 inspections
Total violations cited
53 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
August 7, 2025 Relicensure Survey 16 Violations
Resident protections
Regulation cited: CFR 487.5 (a) (3) (i)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (e) (2)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (i)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (b)
Plan/Notice of Correction Under Review
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Under Review
Records and reports
Regulation cited: CFR 487.10 (c) (1-3)
Plan/Notice of Correction Under Review
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (f) (17)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (h) (5)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (j) (1-3)
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) (13)
Plan/Notice of Correction Under Review
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Under Review
April 8, 2025 Complaint Survey 0 Violations

✓ No violations found

February 13, 2025 Relicensure, Complaint, Follow-up Survey 2 Violations
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
February 4, 2025 Complaint Survey 0 Violations

✓ No violations found

December 11, 2024 Complaint Survey 0 Violations

✓ No violations found

September 20, 2024 Relicensure, Complaint Survey 8 Violations
Admission standards
Regulation cited: CFR 487.4 (c)(11)(i)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (d) (6)
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) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (f) (19)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (5)
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 (f)
Plan/Notice of Correction Approved
April 30, 2024 Complaint Survey 0 Violations

✓ No violations found

March 12, 2024 Relicensure, Follow-up Survey 3 Violations
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
February 5, 2024 Complaint Survey 0 Violations

✓ No violations found

February 5, 2024 Complaint Survey 0 Violations

✓ No violations found

October 3, 2023 Relicensure Survey 5 Violations
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (8)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
August 14, 2023 Other Survey 0 Violations

✓ No violations found

August 24, 2023 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
July 14, 2022 Complaint Survey 0 Violations

✓ No violations found

March 28, 2023 Relicensure, Complaint, Follow-up Survey 5 Violations
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (15)
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 (h) (5)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
October 6, 2022 Relicensure, Complaint Survey 9 Violations
Admission standards
Regulation cited: CFR 487.4 (c)(12)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
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
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (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
September 8, 2021 Complaint Survey 1 Violation
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Approved
April 22, 2022 Complaint Survey 0 Violations

✓ No violations found

November 1, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
September 30, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
September 9, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
4 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
September 4, 2025
Stipulation & Order
#ACF-25-055
January 10, 2025
Stipulation & Order
#ACF-25-003
May 24, 2024
Stipulation & Order
#ACF-24-017
April 19, 2024
Stipulation & Order
#ACF-24-009