Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
6
No citations found
60% of all inspections
4
Resulted in citations
40% of all inspections
15 Total Citations — state avg: 23
Issued across those 4 inspections
11Standard Health
4Life Safety Code
Severity of Citations
How serious were those 15 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 Daily Living (adls)/mntn Abilities
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Comprehensive Assessment After Signifcant Chg
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Protection - Other
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
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 2026Below state average. This facility received 17.1 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.4 per 100 beds vs. 3.0 statewide).
Total Complaints
49
55,221 statewide
Per 100 Occupied Beds
17.1
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
4
1.4 per 100 beds · avg 3.0
Facility-Reported Incidents
53%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 8 |
| Resident Rights | 0 |
| Total | 12 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $16,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 29, 2016
$6,000
Stipulation & Order #NH-16-165 · Signed May 31, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 13, 2015
$10,000
Stipulation & Order #NH-16-140 · Signed March 19, 2016
Reason: Other Services
Reason: Other Services