Inspection Summary

Oct 2021 – Sep 2025
53%
of inspections passed with no issues found
8 of 15 inspections · Oct 2021 – Sep 2025
Inspections with issues
7 of 15 inspections
Total violations cited
17 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
August 29, 2025 Complaint Survey 0 Violations

✓ No violations found

September 16, 2025 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
May 15, 2025 Complaint Survey 0 Violations

✓ No violations found

April 2, 2025 Complaint Survey 0 Violations

✓ No violations found

February 12, 2025 Complaint Survey 2 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
March 13, 2025 Complaint Survey 0 Violations

✓ No violations found

December 3, 2024 Complaint Survey 0 Violations

✓ No violations found

July 17, 2024 Complaint Survey 3 Violations
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (i)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Approved
June 25, 2024 Complaint Survey 0 Violations

✓ No violations found

February 8, 2024 Relicensure, Complaint Survey 7 Violations
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (k) (1-3)
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
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Medication management
Regulation cited: CFR 1001.10 (l) (4-7)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Approved
February 6, 2023 Complaint Survey 0 Violations

✓ No violations found

September 14, 2022 Other Survey 2 Violations
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (l) (1)
Plan/Notice of Correction Approved
December 15, 2021 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
September 9, 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 1, 2022
Stipulation & Order
#ACF-22-057