Citations Summary
Feb 2022 – Jan 202629 Total Citations — state avg: 23
Issued in the reporting period
26Standard Health
3Life Safety Code
Severity of Citations
How serious were those 29 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
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Life Safety Code Citations
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
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Standard Health Citations
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Permitting Residents To Return To Facility
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
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Standard Health Citations
Criminal History Record Check Process
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
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 134.6 complaints per 100 beds vs. a statewide rate of 55.0. 9 citations resulted from those complaints (11.5 per 100 beds vs. 3.0 statewide).
Total Complaints
105
55,221 statewide
Per 100 Occupied Beds
134.6
55.0 state avg
On-Site Inspections
20
8,103 statewide
Citations Issued
9
11.5 per 100 beds · avg 3.0
Facility-Reported Incidents
58%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 11 |
| Resident Rights | 2 |
| Total | 19 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $28,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 4, 2022
$16,000
Stipulation & Order #NH-22-088 · Signed June 16, 2022
Reason: Quality of Care
Reason: Quality of Care
May 26, 2021
$10,000
Stipulation & Order #NH-21-153 · Signed August 23, 2021
Reason: Quality of Care
Reason: Quality of Care
September 18, 2015
$2,000
Stipulation & Order #NH-16-132 · Signed April 6, 2016
Reason: Quality of Care
Reason: Quality of Care