Citations Summary
Feb 2022 – Jan 20266 Inspections Conducted
2
No citations found
33% of all inspections
4
Resulted in citations
67% of all inspections
14 Total Citations — state avg: 23
Issued across those 4 inspections
11Standard Health
3Life Safety Code
Severity of Citations
How serious were those 14 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 Abuse/neglect Policies
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
General Requirements
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
Life Safety Code Citations
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
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
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Life Safety Code Citations
Elevators
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
▼
Standard Health Citations
Respiratory/tracheostomy Care And Suctioning
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 66.1 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.8 per 100 beds vs. 3.0 statewide).
Total Complaints
72
55,221 statewide
Per 100 Occupied Beds
66.1
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
3
2.8 per 100 beds · avg 3.0
Facility-Reported Incidents
56%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 7 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 14 |
| Resident Rights | 4 |
| Total | 30 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 30, 2021
$2,000
Stipulation & Order #NH-21-245 · Signed December 28, 2021
Reason: Quality of Care
Reason: Quality of Care