Citations Summary
Jun 2022 – May 202611 Inspections Conducted
5
No citations found
45% of all inspections
6
Resulted in citations
55% of all inspections
282 Total Citations — state avg: 41
Issued across those 6 inspections
206Standard Health
76Life Safety Code
Severity of Citations
How serious were those 282 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 11 inspections in the current reporting window, 5 found no citations at all; inspectors issued 282 citations in total.
- Of those, 206 were standard health citations (quality of care) and 76 were related to the Life Safety Code (fire protection).
- The state logged 106 complaints about this facility; 12 led to on-site inspections.
- The state has 7 formal enforcement actions (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
1063303N
County
Columbia
Phone
(518) 851-3041
Operated By
Livingston Two Operations, LLC (For Profit)
DOH Regional Office
Capital District
Occupancy Rate
90%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Baseline Care Plan
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Menus Meet Resident Nds/prep In Adv/followed
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
Protection/management Of Personal Funds
Standard Health Citation — quality of care
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Quality Of Life
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Respect, Dignity/right To Have Prsnl Property
Standard Health Citation — quality of care
Right To Forms Of Communication W/ Privacy
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Compliance And Ethics Program
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Training Requirements
Standard Health Citation — quality of care
▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Comprehensive Assessment After Signifcant Chg
Standard Health Citation — quality of care
Definitions
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
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
Governing Body
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Organization And Administration
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
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 Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation — NFPA requirements
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas Equipment - Precautions For Handling Oxyg
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Policies/procedures For Medical Documentation
Life Safety Code Citation — NFPA requirements
Smoking Regulations
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
Sprinkler System - Supervisory Signals
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Corridors Have Firmly Secured Handrails
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Notice Of Bed Hold Policy Before/upon Trnsfr
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Right To Receive/deny Visitors
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
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
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Discharge Planning Process
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
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
Jun 2022 – May 2026Above state average. This facility received 94.9 complaints per 100 beds vs. a statewide rate of 57.4. 76 citations resulted from those complaints (68.1 per 100 beds vs. 5.3 statewide).
Total Complaints
106
55,669 statewide
Per 100 Occupied Beds
94.9
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
76
68.1 per 100 beds · avg 5.3
Facility-Reported Incidents
38%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 4 |
| Dietary Services | 3 |
| Other Services | 3 |
| Physical Environment | 5 |
| Quality of Care | 4 |
| Resident Rights | 5 |
| Total | 24 |
Enforcement & Fines
Jun 2016 – May 20267 enforcement actions totaling $54,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 1, 2024
$16,000
Stipulation & Order #NH-24-062 · Signed October 23, 2024
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
May 10, 2023
$2,000
Stipulation & Order #NH-23-084 · Signed September 25, 2023
Reason: Infection Control
Reason: Infection Control
September 20, 2022
$4,000
Stipulation & Order #NH-22-180 · Signed December 19, 2022
Reason: Quality of Care
Reason: Quality of Care
April 14, 2021
$24,000
Stipulation & Order #NH-21-123 · Signed June 25, 2021
Reason: Quality of Care
Reason: Quality of Care
February 10, 2021
$4,000
Stipulation & Order #NH-21-143 · Signed August 5, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
December 17, 2020
$2,000
Stipulation & Order #NH-21-082 · Signed April 28, 2021
Reason: Other Services
Reason: Other Services
December 6, 2020
$2,000
Stipulation & Order #NH-21-087 · Signed May 6, 2021
Reason: Other Services
Reason: Other Services