Citations Summary
Jun 2022 – May 202674 Total Citations — state avg: 41
Issued in the reporting period
33Standard Health
41Life Safety Code
Severity of Citations
How serious were those 74 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 8 inspections in the current reporting window, 1 found no citations at all; inspectors issued 74 citations in total.
- Of those, 33 were standard health citations (quality of care) and 41 were related to the Life Safety Code (fire protection).
- The state logged 97 complaints about this facility; 21 led to on-site inspections.
- The state has 3 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
2238304N
County
Jefferson
Phone
(315) 493-3220
Operated By
CLR Carthage, LLC (For Profit)
DOH Regional Office
Central New York
Occupancy Rate
0%
Staff Flu Vaccination
98%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Discharge Planning Process
Standard Health Citation — quality of care
Food In Form To Meet Individual Needs
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
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
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Other Laws, Codes, Rules And Regulations.
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
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
Fire Drills
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Policies/procedures For Sheltering In Place
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Procedures For Tracking Of Staff And Patients
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Preparation For Safe/orderly Transfer/dschrg
Standard Health Citation — quality of care
▼
Standard Health Citations
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
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
Electrical Equipment - Testing And Maintenanc
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
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Smoking Regulations
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
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
▼
Standard Health Citations
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Permitting Residents To Return To Facility
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
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 2026Above state average. This facility received 113.9 complaints per 100 beds vs. a statewide rate of 57.4. 19 citations resulted from those complaints (22.3 per 100 beds vs. 5.3 statewide).
Total Complaints
97
55,669 statewide
Per 100 Occupied Beds
113.9
57.4 state avg
On-Site Inspections
21
7,566 statewide
Citations Issued
19
22.3 per 100 beds · avg 5.3
Facility-Reported Incidents
32%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 3 |
| Dietary Services | 2 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 4 |
| Resident Rights | 4 |
| Total | 17 |
Enforcement & Fines
Jun 2016 – May 20263 enforcement actions totaling $32,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 27, 2022
$12,000
Stipulation & Order #NH-23-054 · Signed May 2, 2023
Reason: Quality of Care
Reason: Quality of Care
April 13, 2021
$10,000
Stipulation & Order #NH-21-138 · Signed July 29, 2021
Reason: Quality of Care
Reason: Quality of Care
December 22, 2020
$10,000
Stipulation & Order #NH-21-173 · Signed September 27, 2021
Reason: Quality of Care
Reason: Quality of Care