Citations Summary
Jun 2022 – May 202638 Total Citations — state avg: 41
Issued in the reporting period
24Standard Health
14Life Safety Code
Severity of Citations
How serious were those 38 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 6 inspections in the current reporting window, 1 found no citations at all; inspectors issued 38 citations in total.
- Of those, 24 were standard health citations (quality of care) and 14 were related to the Life Safety Code (fire protection).
- The state logged 83 complaints about this facility; 16 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
2201000N
County
Jefferson
Phone
(315) 785-4400
Operated By
Samaritan Medical Center (Not for Profit)
DOH Regional Office
Central New York
Occupancy Rate
97%
Staff Flu Vaccination
90%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Food In Form To Meet Individual Needs
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
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
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
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
Multiple Occupancies - Construction Type
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
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
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Training For Feeding Assistants
Standard Health Citation — quality of care
Treatment/service For Dementia
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
Jun 2022 – May 2026Below state average. This facility received 34.2 complaints per 100 beds vs. a statewide rate of 57.4. 13 citations resulted from those complaints (5.4 per 100 beds vs. 5.3 statewide).
Total Complaints
83
55,669 statewide
Per 100 Occupied Beds
34.2
57.4 state avg
On-Site Inspections
16
7,566 statewide
Citations Issued
13
5.4 per 100 beds · avg 5.3
Facility-Reported Incidents
73%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 3 |
| Resident Rights | 4 |
| Total | 12 |
Enforcement & Fines
Jun 2016 – May 20264 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
August 8, 2023
$4,000
Stipulation & Order #NH-24-014 · Signed January 12, 2024
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
September 3, 2021
$2,000
Stipulation & Order #NH-21-249 · Signed December 28, 2021
Reason: Quality of Care
Reason: Quality of Care
December 13, 2020
$2,000
Stipulation & Order #NH-21-054 · Signed March 4, 2021
Reason: Other Services
Reason: Other Services
December 15, 2017
$10,000
Stipulation & Order #NH-18-015 · Signed April 10, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies