NY DOH Inspection Report

The Eleanor Nursing Care Center

📍 419 North Quaker Lane, Hyde Park, NY 12538

Nursing HomeCert 1356303NDutchess County

Citations Summary

Jun 2022 – May 2026
15 Inspections Conducted
3
No citations found
20% of all inspections
12
Resulted in citations
80% of all inspections
287 Total Citations — state avg: 41
Issued across those 12 inspections
164Standard Health
123Life Safety Code
Severity of Citations
How serious were those 287 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
  • Across 15 inspections in the current reporting window, 3 found no citations at all; inspectors issued 287 citations in total.
  • Of those, 164 were standard health citations (quality of care) and 123 were related to the Life Safety Code (fire protection).
  • The state logged 96 complaints about this facility; 19 led to on-site inspections.
  • The state has 4 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
1356303N
County
Dutchess
Phone
(845) 229-9177
Operated By
Victory Lake Operations, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
88%
Staff Flu Vaccination
77%

Inspection Details

Surveys with Citations Only
April 21, 2026 CERTIFICATION/COMPLAINT Survey 25 Health 19 LSC
▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Dialysis
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Discharge Process
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Governing Body
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Grievances
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Right To Access/purchase Copies Of Records
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Right To Participate In Planning Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Sufficient/competent Staff-behav Health Needs
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Elevators
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread Not yet corrected
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Fire Drills
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 0 👤 Scope Not yet corrected
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Level 0 👤 Scope Not yet corrected
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread Not yet corrected
December 5, 2025 COMPLAINT Survey 3 Health 0 LSC
▼
Standard Health Citations
Facility Assessment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 30, 2026
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 30, 2026
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 30, 2026
May 6, 2025 CERTIFICATION/COMPLAINT Survey 26 Health 20 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Antibiotic Stewardship Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Competent Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread July 5, 2025
Covid-19 Immunization
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Dialysis
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Discharge Process
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤 Pattern July 5, 2025
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread July 5, 2025
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Infection Control
Standard Health Citation — quality of care
Level 0 👤 Scope July 5, 2025
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 5, 2025
Required In-service Training For Nurse Aides
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Resident/family Group And Response
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 5, 2025
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread July 5, 2025
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread Not yet corrected
Egress Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Elevators
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 25, 2025
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Fire Drills
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 0 👤 Scope June 28, 2025
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Sprinkler System - Out Of Service
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 28, 2025
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 28, 2025
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Level 0 👤 Scope June 28, 2025
September 17, 2024 CERTIFICATION/COMPLAINT Survey 28 Health 28 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Governing Body
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Organization And Administration
Standard Health Citation — quality of care
Level 0 👤 Scope November 15, 2024
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Resident Call System
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤👤👤 Pattern November 15, 2024
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Resident/family Group And Response
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 16, 2024
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern November 15, 2024
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 16, 2024
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 15, 2024
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 5, 2024
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread December 2, 2024
Egress Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 2, 2024
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Elevators
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread December 2, 2024
Ep Training And Testing
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread November 27, 2024
Exit Signage
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Fire Drills
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 19, 2024
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 22, 2024
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 2, 2024
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Ltc And Icf/iid Sharing Plan With Patients
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread November 27, 2024
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 4 · Immediate Jeopardy 👤👤👤👤👤 Widespread December 2, 2024
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 27, 2024
Sprinkler System - Out Of Service
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Level 0 👤 Scope December 2, 2024
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 2, 2024
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread December 2, 2024
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 2, 2024
May 9, 2024 COMPLAINT Survey 2 Health 0 LSC
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 18, 2024
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 18, 2024
January 29, 2024 COMPLAINT Survey 8 Health 0 LSC
▼
Standard Health Citations
Admissions Policy
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Antibiotic Stewardship Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Facility Assessment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Governing Body
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Infection Control
Standard Health Citation — quality of care
Level 0 👤 Scope April 2, 2024
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread April 2, 2024
October 19, 2023 COMPLAINT Survey 1 Health 0 LSC
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated November 17, 2023
August 14, 2023 COVID19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
June 4, 2023 COMPLAINT Survey 2 Health 0 LSC
▼
Standard Health Citations
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 20, 2023
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 20, 2023
February 9, 2023 COMPLAINT Survey 1 Health 0 LSC
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern April 14, 2023
November 8, 2022 COMPLAINT Survey 2 Health 0 LSC
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 27, 2022
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 27, 2022
August 2, 2022 CERTIFICATION/COMPLAINT Survey 8 Health 18 LSC
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 16, 2022
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 16, 2022
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 16, 2022
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Egress Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 25, 2022
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 25, 2022
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 25, 2022
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 25, 2022
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Ep Training And Testing
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Ep Training Program
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Fire Drills
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 25, 2022
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated October 31, 2022
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 25, 2022
Local, State, Tribal Collaboration Process
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 25, 2022
Procedures For Tracking Of Staff And Patients
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread September 25, 2022
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated October 31, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated November 1, 2022
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 23, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 25, 2022
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 2026
Above state average. This facility received 89.7 complaints per 100 beds vs. a statewide rate of 57.4. 68 citations resulted from those complaints (63.5 per 100 beds vs. 5.3 statewide).
Total Complaints
96
55,669 statewide
Per 100 Occupied Beds
89.7
57.4 state avg
On-Site Inspections
19
7,566 statewide
Citations Issued
68
63.5 per 100 beds · avg 5.3
Facility-Reported Incidents
39%
55% statewide
Citations by CategoryThis Facility
Administration4
Dietary Services5
Other Services5
Physical Environment5
Quality of Care10
Resident Rights5
Total34

Enforcement & Fines

Jun 2016 – May 2026
4 enforcement actions totaling $88,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 17, 2024
$74,000
Stipulation & Order #NH-25-016 · Signed March 13, 2025
Reason: Multiple Deficiencies
August 2, 2022
$2,000
Stipulation & Order #NH-22-142 · Signed September 14, 2022
Reason: Quality of Care
November 9, 2020
$10,000
Stipulation & Order #NH-21-107 · Signed May 18, 2021
Reason: Quality of Care
September 29, 2015
$2,000
Stipulation & Order #NH-17-020 · Signed January 31, 2017
Reason: Quality of Care