Inspection Summary

Oct 2021 – Sep 2025
31%
of inspections passed with no issues found
5 of 16 inspections · Oct 2021 – Sep 2025
Inspections with issues
11 of 16 inspections
Total violations cited
26 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 10, 2025 Complaint Survey 2 Violations
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Plan/Notice of Correction Under Review
July 28, 2025 Complaint Survey 1 Violation
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Plan/Notice of Correction Approved
August 2, 2025 Complaint Survey 0 Violations

✓ No violations found

January 31, 2025 Complaint Survey 0 Violations

✓ No violations found

December 4, 2024 Complaint Survey 0 Violations

✓ No violations found

January 29, 2025 Complaint Survey 1 Violation
Environmental standards
Regulation cited: CFR 487.11 (b) (1-2)
Plan/Notice of Correction Approved
November 26, 2024 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
August 28, 2024 Complaint Survey 1 Violation
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
May 16, 2024 Relicensure, Complaint Survey 12 Violations
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Under Review
General provisions
Regulation cited: CFR 487.3 (g) (1-2)
Plan/Notice of Correction Under Review
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Under Review
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (d) (4,8,10-11)
Plan/Notice of Correction Under Review
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Under Review
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Plan/Notice of Correction Under Review
Disaster and emergency planning
Regulation cited: CFR 487.12 (a-b)
Plan/Notice of Correction Under Review
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
Plan/Notice of Correction Under Review
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Plan/Notice of Correction Under Review
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Under Review
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Plan/Notice of Correction Under Review
August 7, 2024 Complaint Survey 3 Violations
Personnel
Regulation cited: CFR 487.9 (a) (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
July 31, 2024 Complaint Survey 0 Violations

✓ No violations found

February 15, 2024 Complaint Survey 2 Violations
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
Plan/Notice of Correction Approved
November 30, 2023 Complaint Survey 1 Violation
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
July 24, 2023 Other Survey 1 Violation
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
December 5, 2022 Complaint Survey 0 Violations

✓ No violations found

December 2, 2021 Complaint Survey 1 Violation
Admission and retention standards.
Regulation cited: CFR 1001.7 (d) (1-5)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
1 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
October 20, 2021
Stipulation & Order
#ACF-21-095