Inspection Summary

Apr 2022 – Mar 2026
72%
of inspections passed with no issues found
18 of 25 inspections · Apr 2022 – Mar 2026
Inspections with issues
7 of 25 inspections
Total violations cited
15 violations total
What the violations were about
Environmental standards 5Resident services 4Admission & retention standards 2Records & reports 2Pre-submission requirements 1Resident protections 1
In plain language
  • The most recent inspection was on March 2, 2026 (complaint survey) and found no violations.
  • Across 25 inspections in the current reporting window, 18 found no violations at all; inspectors cited 15 violations in total.
  • Of the 25 visits in this window, 21 were prompted by complaints and 4 were routine or other surveys.
  • The state lists no formal enforcement actions against 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-120
County
Onondaga
Phone
(315) 492-1329
Operated By
Loretto Adult Community, Inc.
DOH Regional Office
Central New York Regional Office

Inspection Details

Apr 2022 – Mar 2026
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
March 2, 2026 Complaint Survey 0 Violations

✓ No violations found

February 18, 2026 Complaint Survey 0 Violations

✓ No violations found

January 15, 2026 Complaint Survey 1 Violation
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
October 23, 2025 Complaint Survey 0 Violations

✓ No violations found

September 22, 2025 Complaint Survey 0 Violations

✓ No violations found

August 7, 2025 Complaint Survey 0 Violations

✓ No violations found

August 5, 2025 Relicensure, Follow-up Survey 0 Violations

✓ No violations found

July 9, 2025 Complaint Survey 0 Violations

✓ No violations found

June 12, 2025 Complaint Survey 0 Violations

✓ No violations found

March 26, 2025 Relicensure Survey 9 Violations
Requirements before submitting a request for
Regulation cited: CFR 402.5(c)
Plan/Notice of Correction Approved
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 488.5 (a) (3) (vii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 488.10 (c) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (11)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (g) (16)
Plan/Notice of Correction Approved
March 25, 2025 Complaint Survey 0 Violations

✓ No violations found

February 4, 2025 Complaint Survey 0 Violations

✓ No violations found

November 5, 2024 Complaint Survey 0 Violations

✓ No violations found

September 24, 2024 Complaint Survey 0 Violations

✓ No violations found

July 10, 2024 Complaint Survey 0 Violations

✓ No violations found

February 7, 2024 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
January 17, 2024 Complaint Survey 0 Violations

✓ No violations found

December 20, 2023 Complaint Survey 0 Violations

✓ No violations found

December 19, 2023 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (e) (2)
Plan/Notice of Correction Approved
October 11, 2023 Relicensure Survey 1 Violation
Environmental standards
Regulation cited: CFR 488.11 (g) (3)
Plan/Notice of Correction Approved
July 19, 2023 Complaint Survey 0 Violations

✓ No violations found

July 14, 2023 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (b) (1) (i)
Plan/Notice of Correction Approved
May 31, 2023 Complaint Survey 0 Violations

✓ No violations found

May 12, 2023 Complaint Survey 0 Violations

✓ No violations found

November 1, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 488.10 (e) (4)
Plan/Notice of Correction Approved

Enforcement & Orders

Apr 2022 – Mar 2026
No enforcement actions during the reporting period.