Citations Summary
Feb 2022 – Jan 202626 Inspections Conducted
19
No citations found
73% of all inspections
7
Resulted in citations
27% of all inspections
48 Total Citations — state avg: 23
Issued across those 7 inspections
42Standard Health
6Life Safety Code
Severity of Citations
How serious were those 48 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
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
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
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
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Quality Of Care
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 - 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
Infection Prevention & Control
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 114.7 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.9 per 100 beds vs. 3.0 statewide).
Total Complaints
180
55,221 statewide
Per 100 Occupied Beds
114.7
55.0 state avg
On-Site Inspections
34
8,103 statewide
Citations Issued
3
1.9 per 100 beds · avg 3.0
Facility-Reported Incidents
76%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 28 |
| Resident Rights | 8 |
| Total | 41 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $42,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 24, 2023
$2,000
Stipulation & Order #NH-23-106 · Signed November 3, 2023
Reason: Infection Control
Reason: Infection Control
June 2, 2022
$8,000
Stipulation & Order #NH-22-121 · Signed August 16, 2022
Reason: Quality of Care
Reason: Quality of Care
June 8, 2020
$20,000
Stipulation & Order #NH-20-040 · Signed September 14, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 17, 2017
$10,000
Stipulation & Order #NH-17-058 · Signed November 14, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$2,000
Stipulation & Order #NH-19-042 · Signed October 3, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies