Inspection Summary

Oct 2021 – Sep 2025
56%
of inspections passed with no issues found
9 of 16 inspections · Oct 2021 – Sep 2025
Inspections with issues
7 of 16 inspections
Total violations cited
12 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
July 28, 2025 Complaint Survey 1 Violation
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
February 13, 2025 Complaint Survey 1 Violation
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
July 1, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
April 29, 2025 Complaint Survey 0 Violations

✓ No violations found

February 28, 2025 Other Survey 0 Violations

✓ No violations found

November 19, 2024 Other Survey 0 Violations

✓ No violations found

January 26, 2024 Relicensure Survey 3 Violations
Resident services
Regulation cited: CFR 488.7 (d) (1)(i-iii)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
July 23, 2024 Complaint Survey 2 Violations
Admission and retention standards
Regulation cited: CFR 488.4 (c) (4)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
January 30, 2023 Complaint Survey 1 Violation
General provisions
Regulation cited: CFR 488.3 (f) (2)
Plan/Notice of Correction Approved
January 10, 2023 Complaint Survey 0 Violations

✓ No violations found

January 30, 2023 Complaint Survey 0 Violations

✓ No violations found

June 9, 2022 Other Survey 0 Violations

✓ No violations found

April 21, 2022 Other Survey 0 Violations

✓ No violations found

January 31, 2022 Complaint Survey 3 Violations
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Contracts.
Regulation cited: CFR 1001.11 (f)
Plan/Notice of Correction Approved
December 3, 2021 Other Survey 0 Violations

✓ No violations found

July 28, 2021 Complaint 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.
October 4, 2022
Stipulation & Order
#ACF-22