Citations Summary
Feb 2022 – Jan 202618 Total Citations — state avg: 23
Issued in the reporting period
13Standard Health
5Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Drug Regimen Review, Report Irregular, Act On
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
Infection Prevention & Control
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Abuse/neglect Policies
Standard Health Citation — quality of care
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Qaa Committee
Standard Health Citation — quality of care
▼
Standard Health Citations
Covid-19 Vaccination Of Facility Staff
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Development Of Communication Plan
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Covid-19 Vaccination Of Facility Staff
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 2026Below state average. This facility received 26.4 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
33
55,221 statewide
Per 100 Occupied Beds
26.4
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
0
0.0 per 100 beds · avg 3.0
Facility-Reported Incidents
52%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 11 |
| Resident Rights | 4 |
| Total | 24 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $14,500 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 13, 2022
$8,000
Stipulation & Order #NH-22-131 · Signed September 2, 2022
Reason: Quality of Care
Reason: Quality of Care
April 23, 2020
$4,500
Stipulation & Order #NH-22-101 · Signed July 18, 2022
Reason: Quality of Care
Reason: Quality of Care
December 6, 2019
$2,000
Stipulation & Order #NH-21-212 · Signed October 29, 2021
Reason: Quality of Care
Reason: Quality of Care