NY DOH Assisted Living Facility — Inspection Report

Pine Harbour

📍 15 New Hampshire Street, Plattsburgh, NY 12903

Inspection Summary

Oct 2021 – Sep 2025
60%
of inspections passed with no issues found
6 of 10 inspections · Oct 2021 – Sep 2025
Inspections with issues
4 of 10 inspections
Total violations cited
16 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
August 22, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

August 8, 2025 Complaint Survey 0 Violations
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✓ No violations found

June 12, 2025 Complaint Survey 0 Violations
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✓ No violations found

January 15, 2025 Relicensure Survey 8 Violations
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Resident services
Regulation cited: CFR 488.7 (d) (1)(i-iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (3)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (4)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (8) (i-iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (e) (2)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 488.10 (d) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Plan/Notice of Correction Approved
Records and reports.
Regulation cited: CFR 1001.12 (b) (1-7)
Plan/Notice of Correction Approved
November 9, 2023 Relicensure Survey 5 Violations
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General provisions
Regulation cited: CFR 488.3 (b)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (4)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 488.7 (d) (8) (i-iii)
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 (e) (3)
Plan/Notice of Correction Approved
February 17, 2023 Complaint Survey 0 Violations
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✓ No violations found

November 1, 2022 Complaint Survey 0 Violations
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✓ No violations found

March 30, 2022 Relicensure, Follow-up Survey 1 Violation
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Inspection
Regulation cited: CFR 486.2 (j) (1-2)
Plan/Notice of Correction Approved
October 6, 2021 Relicensure Survey 2 Violations
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General provisions
Regulation cited: CFR 488.3 (b)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 488.9 (a) (5) (i)
Plan/Notice of Correction Approved
November 5, 2021 Other Survey 0 Violations
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✓ No violations found

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
December 16, 2021
Stipulation & Order
#ACF-21-135