Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
3
No citations found
30% of all inspections
7
Resulted in citations
70% of all inspections
20 Total Citations — state avg: 23
Issued across those 7 inspections
17Standard Health
3Life Safety Code
Severity of Citations
How serious were those 20 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
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
Free From Abuse And Neglect
Standard Health Citation — quality of care
Other Laws, Codes, Rules And Regulations.
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Life Safety Code Citations
Development Of Communication Plan
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas Equipment - Qualifications And Training
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
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 197.2 complaints per 100 beds vs. a statewide rate of 55.0. 7 citations resulted from those complaints (6.5 per 100 beds vs. 3.0 statewide).
Total Complaints
211
55,221 statewide
Per 100 Occupied Beds
197.2
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
7
6.5 per 100 beds · avg 3.0
Facility-Reported Incidents
95%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 11 |
| Resident Rights | 2 |
| Total | 15 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 7, 2021
$12,000
Stipulation & Order #NH-21-205 · Signed November 9, 2021
Reason: Quality of Care
Reason: Quality of Care
October 19, 2012
$6,000
Stipulation & Order #NH-16-178 · Signed June 28, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies