Citations Summary
Feb 2022 – Jan 202621 Inspections Conducted
4
No citations found
19% of all inspections
17
Resulted in citations
81% of all inspections
55 Total Citations — state avg: 23
Issued across those 17 inspections
50Standard Health
5Life Safety Code
Severity of Citations
How serious were those 55 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Baseline Care Plan
Standard Health Citation — quality of care
Behavioral Health Services
Standard Health Citation — quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
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
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
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
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Treatment/devices To Maintain Hearing/vision
Standard Health Citation — quality of care
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation — NFPA requirements
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Development Of Ep Policies And Procedures
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
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
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
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Integrated Ep Program
Life Safety Code Citation — NFPA requirements
Ltc And Icf/iid Sharing Plan With Patients
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
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
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
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
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
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 124.6 complaints per 100 beds vs. a statewide rate of 55.0. 13 citations resulted from those complaints (10.0 per 100 beds vs. 3.0 statewide).
Total Complaints
162
55,221 statewide
Per 100 Occupied Beds
124.6
55.0 state avg
On-Site Inspections
32
8,103 statewide
Citations Issued
13
10.0 per 100 beds · avg 3.0
Facility-Reported Incidents
35%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 14 |
| Quality of Care | 47 |
| Resident Rights | 15 |
| Total | 82 |
Enforcement & Fines
Feb 2016 – Jan 20266 enforcement actions totaling $34,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 18, 2021
$2,000
Stipulation & Order #NH-21-226 · Signed December 3, 2021
Reason: Quality of Care
Reason: Quality of Care
April 23, 2021
$6,000
Stipulation & Order #NH-21-130 · Signed June 25, 2021
Reason: Quality of Care
Reason: Quality of Care
November 21, 2020
$10,000
Stipulation & Order #NH-21-052 · Signed March 9, 2021
Reason: Quality of Care
Reason: Quality of Care
August 22, 2019
$4,000
Stipulation & Order #NH-20-014 · Signed March 24, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
May 21, 2018
$2,000
Stipulation & Order #NH-18-048 · Signed November 29, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
April 18, 2016
$10,000
Stipulation & Order #NH-17-015 · Signed January 4, 2017
Reason: Quality of Care
Reason: Quality of Care