Inspection Summary

Oct 2021 – Sep 2025
38%
of inspections passed with no issues found
6 of 16 inspections · Oct 2021 – Sep 2025
Inspections with issues
10 of 16 inspections
Total violations cited
33 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
August 26, 2025 Complaint Survey 0 Violations

✓ No violations found

August 13, 2025 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
July 29, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
March 13, 2025 Complaint Survey 0 Violations

✓ No violations found

August 21, 2024 Relicensure, Complaint Survey 11 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (12-13)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
Consumer and resident protections.
Regulation cited: CFR 1001.8 (a)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
March 18, 2024 Complaint Survey 5 Violations
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Plan/Notice of Correction Approved
December 19, 2023 Complaint Survey 0 Violations

✓ No violations found

May 26, 2023 Complaint Survey 0 Violations

✓ No violations found

December 28, 2022 Other Survey 1 Violation
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
Plan/Notice of Correction Approved
December 20, 2022 Complaint Survey 0 Violations

✓ No violations found

July 15, 2021 Relicensure, Complaint Survey 10 Violations
General requirements
Regulation cited: CFR 402.4(b)(2)(i)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (c) (1)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (c)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (d) (1-2)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
Records and reports.
Regulation cited: CFR 1001.12 (b) (1-7)
Plan/Notice of Correction Approved
October 7, 2021 Other Survey 0 Violations

✓ No violations found

May 8, 2022 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
October 24, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
October 10, 2021 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
October 6, 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.
June 6, 2025
Stipulation & Order
#ACF-25-031