Inspection Summary
Apr 2022 – Mar 202673%
of inspections passed with no issues found
16 of 22 inspections · Apr 2022 – Mar 2026
Inspections with issues
6 of 22 inspections
Total violations cited
17 violations total
What the violations were about
Environmental standards 7Resident services 6Admission & retention standards 1Personnel 1Pre-submission requirements 1Records & reports 1
In plain language
- The most recent inspection was on March 10, 2026 (relicensure, follow-up survey) and found no violations.
- Across 22 inspections in the current reporting window, 16 found no violations at all; inspectors cited 17 violations in total.
- Of the 22 visits in this window, 18 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
520-S-054
County
Onondaga
Phone
(315) 469-7786
Operated By
Loretto Adult Community, 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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✓ No violations found
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (d) (3)
Environmental standards
Regulation cited: CFR 488.11 (e) (3)
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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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Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Resident services
Regulation cited: CFR 488.7 (e) (2)
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✓ No violations found
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✓ No violations found
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Requirements before submitting a request for
Regulation cited: CFR 402.5(c)
Resident services
Regulation cited: CFR 488.7 (d) (3)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Environmental standards
Regulation cited: CFR 488.11 (e) (6)
Environmental standards
Regulation cited: CFR 488.11 (e) (13)
Environmental standards
Regulation cited: CFR 488.11 (g) (3)
Environmental standards
Regulation cited: CFR 488.11 (g) (6)
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (e) (2)
Records and reports
Regulation cited: CFR 488.10 (c) (1)
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✓ No violations found
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (d) (3)
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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 488.7 (d) (3)
Personnel
Regulation cited: CFR 488.9 (a) (2) (v)
Environmental standards
Regulation cited: CFR 488.11 (e) (13)
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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, 2024
Stipulation & Order
#ACF-24-025