Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
2
No citations found
50% of all inspections
2
Resulted in citations
50% of all inspections
16 Total Citations — state avg: 23
Issued across those 2 inspections
9Standard Health
7Life 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
Criminal History Record Check Process
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas And Vacuum Piped Systems - Inspection And
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Protection - Other
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
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 90.0 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (12.0 per 100 beds vs. 3.0 statewide).
Total Complaints
45
55,221 statewide
Per 100 Occupied Beds
90.0
55.0 state avg
On-Site Inspections
7
8,103 statewide
Citations Issued
6
12.0 per 100 beds · avg 3.0
Facility-Reported Incidents
84%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 4 |
| Resident Rights | 1 |
| Total | 8 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 22, 2022
$8,000
Stipulation & Order #NH-22-159 · Signed November 16, 2022
Reason: Quality of Care
Reason: Quality of Care
May 27, 2020
$2,000
Stipulation & Order #NH-20-021 · Signed July 21, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$2,000
Stipulation & Order #NH-17-054 · Signed October 9, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies