Citations Summary
Jun 2022 – May 202637 Total Citations — state avg: 41
Issued in the reporting period
17Standard Health
20Life Safety Code
Severity of Citations
How serious were those 37 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 37 citations in total.
- Of those, 17 were standard health citations (quality of care) and 20 were related to the Life Safety Code (fire protection).
- The state logged 204 complaints about this facility; 21 led to on-site inspections.
- The state has 2 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
2424000N
County
Lewis
Phone
(315) 376-5200
Operated By
County of Lewis (Public)
DOH Regional Office
Central New York
Occupancy Rate
74%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
▼
Standard Health Citations
Assistive Devices - Eating Equipment/utensils
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
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Elevators
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
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Other Laws, Codes, Rules And Regulations.
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
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 176.4 complaints per 100 beds vs. a statewide rate of 57.4. 8 citations resulted from those complaints (6.9 per 100 beds vs. 5.3 statewide).
Total Complaints
204
55,669 statewide
Per 100 Occupied Beds
176.4
57.4 state avg
On-Site Inspections
21
7,566 statewide
Citations Issued
8
6.9 per 100 beds · avg 5.3
Facility-Reported Incidents
96%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 0 |
| Quality of Care | 3 |
| Resident Rights | 4 |
| Total | 12 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $30,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 10, 2024
$10,000
Stipulation & Order #NH-25-031 · Signed July 18, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
February 28, 2023
$20,000
Stipulation & Order #NH-25-072 · Signed October 25, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies