Citations Summary
Feb 2022 – Jan 202621 Inspections Conducted
14
No citations found
67% of all inspections
7
Resulted in citations
33% of all inspections
31 Total Citations — state avg: 23
Issued across those 7 inspections
26Standard Health
5Life Safety Code
Severity of Citations
How serious were those 31 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Department Criminal History Review
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Use Of Outside Resources
Standard Health Citation — quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Drills
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
Multiple Occupancies
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
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Means Of Egress Requirements - Other
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 154.9 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (2.4 per 100 beds vs. 3.0 statewide).
Total Complaints
127
55,221 statewide
Per 100 Occupied Beds
154.9
55.0 state avg
On-Site Inspections
22
8,103 statewide
Citations Issued
2
2.4 per 100 beds · avg 3.0
Facility-Reported Incidents
87%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 7 |
| Resident Rights | 1 |
| Total | 8 |
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.
November 2, 2018
$2,000
Stipulation & Order #NH-19-006 · Signed January 16, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies