Citations Summary
Jun 2022 – May 20269 Inspections Conducted
3
No citations found
33% of all inspections
6
Resulted in citations
67% of all inspections
56 Total Citations — state avg: 41
Issued across those 6 inspections
49Standard Health
7Life Safety Code
Severity of Citations
How serious were those 56 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 9 inspections in the current reporting window, 3 found no citations at all; inspectors issued 56 citations in total.
- Of those, 49 were standard health citations (quality of care) and 7 were related to the Life Safety Code (fire protection).
- The state logged 178 complaints about this facility; 19 led to on-site inspections.
- The state has 1 formal enforcement action (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
1327300N
County
Dutchess
Phone
(845) 876-2011
Operated By
Catholic Health Care System (Not for Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
71%
Staff Flu Vaccination
93%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
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
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
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
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Assistive Devices - Eating Equipment/utensils
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Drinks Avail To Meet Needs/prefs/hydration
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
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
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
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
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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 64.5 complaints per 100 beds vs. a statewide rate of 57.4. 22 citations resulted from those complaints (8.0 per 100 beds vs. 5.3 statewide).
Total Complaints
178
55,669 statewide
Per 100 Occupied Beds
64.5
57.4 state avg
On-Site Inspections
19
7,566 statewide
Citations Issued
22
8.0 per 100 beds · avg 5.3
Facility-Reported Incidents
78%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 4 |
| Resident Rights | 5 |
| Total | 14 |
Enforcement & Fines
Jun 2016 – May 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.
November 14, 2025
$2,000
Stipulation & Order #NH-26-034 · Signed March 31, 2026
Reason: Resident Rights
Reason: Resident Rights