Inspection Summary

Oct 2021 – Sep 2025
38%
of inspections passed with no issues found
3 of 8 inspections · Oct 2021 – Sep 2025
Inspections with issues
5 of 8 inspections
Total violations cited
29 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
April 10, 2025 Complaint Survey 0 Violations

✓ No violations found

December 5, 2024 Complaint Survey 0 Violations

✓ No violations found

June 13, 2024 Relicensure, Complaint Survey 25 Violations
Personal allowances for supplemental se
Regulation cited: CFR 485.12 (a) (1-2,4)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 488.3 (b)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 488.4 (a)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 488.4 (c) (11) (vi)
Plan/Notice of Correction Under Review
Resident protections
Regulation cited: CFR 488.5 (b) (1)
Plan/Notice of Correction Under Review
Resident protections
Regulation cited: CFR 488.5 (c) (7) (vi)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (d) (1)(i-iii)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (d) (4)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (d) (6)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (d) (8) (vi)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (e) (2)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 488.7 (e) (3)
Plan/Notice of Correction Under Review
Personnel
Regulation cited: CFR 488.9 (a) (1)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (c)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (e) (9)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (f) (6)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (f) (8)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (f) (9)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (2)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (3)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (4)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (8)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 488.11 (g) (10)
Plan/Notice of Correction Under Review
Disaster and emergency procedures
Regulation cited: CFR 488.12 (c)(1-10)
Plan/Notice of Correction Under Review
Admission and retention standards
Regulation cited: CFR 494.4 (e)(3)
Plan/Notice of Correction Under Review
July 18, 2023 Complaint Survey 1 Violation
Environmental standards
Regulation cited: CFR 488.11 (g) (10)
Plan/Notice of Correction Approved
December 21, 2022 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Plan/Notice of Correction Approved
April 24, 2023 Other Survey 1 Violation
Disaster and emergency procedures
Regulation cited: CFR 488.12 (m) (1-4)
Plan/Notice of Correction Approved
September 9, 2020 Complaint Survey 0 Violations

✓ No violations found

October 14, 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
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
November 23, 2021
Stipulation & Order
#ACF-21-102