Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
6
No citations found
67% of all inspections
3
Resulted in citations
33% of all inspections
16 Total Citations — state avg: 23
Issued across those 3 inspections
14Standard Health
2Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
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 16.2 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.7 per 100 beds vs. 3.0 statewide).
Total Complaints
39
55,221 statewide
Per 100 Occupied Beds
16.2
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
4
1.7 per 100 beds · avg 3.0
Facility-Reported Incidents
56%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 5 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 18 |
| Resident Rights | 7 |
| Total | 35 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $42,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 10, 2023
$2,000
Stipulation & Order #NH-24-008 · Signed January 4, 2024
Reason: Quality of Care
Reason: Quality of Care
February 20, 2023
$10,000
Stipulation & Order #NH-24-028 · Signed May 22, 2024
Reason: Quality of Care
Reason: Quality of Care
April 21, 2016
$10,000
Stipulation & Order #NH-16-197 · Signed September 27, 2016
Reason: Quality of Care
Reason: Quality of Care
Date not yet available
$20,000
Stipulation & Order #NH-16-123 · Signed April 4, 2016
Reason: Quality of Care
Reason: Quality of Care