Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
2
No citations found
25% of all inspections
6
Resulted in citations
75% of all inspections
13 Total Citations — state avg: 23
Issued across those 6 inspections
11Standard Health
2Life Safety Code
Severity of Citations
How serious were those 13 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food In Form To Meet Individual Needs
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Life Safety Code Citations
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Roles Under A Waiver Declared By Secretary
Life Safety Code Citation — NFPA requirements
▼
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
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
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
Feb 2022 – Jan 2026Above state average. This facility received 79.5 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (2.6 per 100 beds vs. 3.0 statewide).
Total Complaints
62
55,221 statewide
Per 100 Occupied Beds
79.5
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
2
2.6 per 100 beds · avg 3.0
Facility-Reported Incidents
82%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 9 |
| Resident Rights | 2 |
| Total | 12 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $8,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 12, 2024
$4,000
Stipulation & Order #NH-25-010 · Signed January 27, 2025
Reason: Quality of Care
Reason: Quality of Care
September 23, 2021
$2,000
Stipulation & Order #NH-21-233 · Signed December 7, 2021
Reason: Quality of Care
Reason: Quality of Care
July 24, 2017
$2,000
Stipulation & Order #NH-17-059 · Signed November 10, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies