Citations Summary
Feb 2022 โ Jan 20267 Inspections Conducted
2
No citations found
29% of all inspections
5
Resulted in citations
71% of all inspections
28 Total Citations โ state avg: 23
Issued across those 5 inspections
22Standard Health
6Life Safety Code
Severity of Citations
How serious were those 28 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation โ quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation โ NFPA requirements
Cooking Facilities
Life Safety Code Citation โ NFPA requirements
Corridor - Doors
Life Safety Code Citation โ NFPA requirements
Corridor - Doors
Life Safety Code Citation โ NFPA requirements
Discharge From Exits
Life Safety Code Citation โ NFPA requirements
Discharge From Exits
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Other
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Ep Training Program
Life Safety Code Citation โ NFPA requirements
Exit Signage
Life Safety Code Citation โ NFPA requirements
Fire Drills
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Hvac
Life Safety Code Citation โ NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation โ NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation โ NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation โ NFPA requirements
Portable Space Heaters
Life Safety Code Citation โ NFPA requirements
Smoking Regulations
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation โ NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Grievances
Standard Health Citation โ quality of care
Other Laws, Codes, Rules And Regulations.
Standard Health Citation โ quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ quality of care
Resident Call System
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Treatment/srvcs Mental/psychoscial Concerns
Standard Health Citation โ quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ quality of care
Severity Scale Reference
Level 0 โ No Harm Potential
Level 2 โ Minor Potential Harm
Level 3 โ Actual Harm
Level 4 โ Immediate Jeopardy
Complaints
Feb 2022 โ Jan 2026Below state average. This facility received 50.0 complaints per 100 beds vs. a statewide rate of 55.0. 10 citations resulted from those complaints (6.3 per 100 beds vs. 3.0 statewide).
Total Complaints
79
55,221 statewide
Per 100 Occupied Beds
50.0
55.0 state avg
On-Site Inspections
18
8,103 statewide
Citations Issued
10
6.3 per 100 beds ยท avg 3.0
Facility-Reported Incidents
34%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 23 |
| Resident Rights | 4 |
| Total | 32 |
Enforcement & Fines
Feb 2016 โ Jan 20264 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 30, 2022
$2,000
Stipulation & Order #NH-23-034 ยท Signed March 29, 2023
Reason: Resident Rights
Reason: Resident Rights
August 10, 2021
$6,000
Stipulation & Order #NH-22-080 ยท Signed June 3, 2022
Reason: Quality of Care
Reason: Quality of Care
January 25, 2019
$2,000
Stipulation & Order #NH-19-026 ยท Signed July 2, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 28, 2017
$10,000
Stipulation & Order #NH-17-062 ยท Signed December 18, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies