Citations Summary
Feb 2022 – Jan 202621 Total Citations — state avg: 23
Issued in the reporting period
16Standard Health
5Life Safety Code
Severity of Citations
How serious were those 21 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
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
Personal Privacy/confidentiality Of Records
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Multiple Occupancies - Construction Type
Life Safety Code Citation — NFPA requirements
Plan Based On All Hazards Risk Assessment
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
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
Self-determination
Standard Health Citation — quality of care
▼
Standard Health Citations
Competent Nursing Staff
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Governing Body
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
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
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
▼
Standard Health Citations
Residents Are Free Of Significant Med Errors
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 47.0 complaints per 100 beds vs. a statewide rate of 55.0. 9 citations resulted from those complaints (3.4 per 100 beds vs. 3.0 statewide).
Total Complaints
123
55,221 statewide
Per 100 Occupied Beds
47.0
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
9
3.4 per 100 beds · avg 3.0
Facility-Reported Incidents
80%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 8 |
| Resident Rights | 2 |
| Total | 13 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $46,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 29, 2024
$10,000
Stipulation & Order #NH-25-015 · Signed February 4, 2025
Reason: Infection Control
Reason: Infection Control
March 29, 2024
$10,000
Stipulation & Order #NH-24-048 · Signed July 31, 2024
Reason: Quality of Care
Reason: Quality of Care
January 27, 2023
$10,000
Stipulation & Order #NH-23-101 · Signed October 26, 2023
Reason: Quality of Care
Reason: Quality of Care
June 2, 2020
$16,000
Stipulation & Order #NH-21-007 · Signed January 8, 2021
Reason: Quality of Care
Reason: Quality of Care