Citations Summary
Feb 2022 – Jan 202625 Inspections Conducted
16
No citations found
64% of all inspections
9
Resulted in citations
36% of all inspections
37 Total Citations — state avg: 23
Issued across those 9 inspections
33Standard Health
4Life Safety Code
Severity of Citations
How serious were those 37 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Corridors Have Firmly Secured Handrails
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Treatment/devices To Maintain Hearing/vision
Standard Health Citation — quality of care
Life Safety Code Citations
Exit Signage
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Roles Under A Waiver Declared By Secretary
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
▼
Standard Health Citations
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Feb 2022 – Jan 2026Above state average. This facility received 115.9 complaints per 100 beds vs. a statewide rate of 55.0. 8 citations resulted from those complaints (4.1 per 100 beds vs. 3.0 statewide).
Total Complaints
226
55,221 statewide
Per 100 Occupied Beds
115.9
55.0 state avg
On-Site Inspections
26
8,103 statewide
Citations Issued
8
4.1 per 100 beds · avg 3.0
Facility-Reported Incidents
39%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 8 |
| Quality of Care | 28 |
| Resident Rights | 14 |
| Total | 53 |
Enforcement & Fines
Feb 2016 – Jan 20266 enforcement actions totaling $70,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 22, 2023
$10,000
Stipulation & Order #NH-23-080 · Signed September 2, 2023
Reason: Infection Control
Reason: Infection Control
November 23, 2022
$10,000
Stipulation & Order #NH-23-057 · Signed June 5, 2023
Reason: Quality of Care
Reason: Quality of Care
August 25, 2022
$14,000
Stipulation & Order #NH-23-014 · Signed February 2, 2023
Reason: Quality of Care
Reason: Quality of Care
August 11, 2020
$4,000
Stipulation & Order #NH-20-051 · Signed September 29, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
September 20, 2013
$14,000
Stipulation & Order #NH-16-179 · Signed June 28, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$18,000
Stipulation & Order #NH-16-137 · Signed March 15, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies