Citations Summary
Feb 2022 – Jan 202633 Total Citations — state avg: 23
Issued in the reporting period
28Standard Health
5Life Safety Code
Severity of Citations
How serious were those 33 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
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
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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
Feb 2022 – Jan 2026Above state average. This facility received 88.8 complaints per 100 beds vs. a statewide rate of 55.0. 17 citations resulted from those complaints (19.1 per 100 beds vs. 3.0 statewide).
Total Complaints
79
55,221 statewide
Per 100 Occupied Beds
88.8
55.0 state avg
On-Site Inspections
21
8,103 statewide
Citations Issued
17
19.1 per 100 beds · avg 3.0
Facility-Reported Incidents
23%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 27 |
| Resident Rights | 11 |
| Total | 44 |
Enforcement & Fines
Feb 2016 – Jan 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