Citations Summary
Jun 2022 – May 202621 Total Citations — state avg: 41
Issued in the reporting period
15Standard Health
6Life Safety Code
Severity of Citations
How serious were those 21 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 3 inspections in the current reporting window, 1 found no citations at all; inspectors issued 21 citations in total.
- Of those, 15 were standard health citations (quality of care) and 6 were related to the Life Safety Code (fire protection).
- The state logged 41 complaints about this facility; 6 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
2750308N
County
Monroe
Phone
(585) 424-4770
Operated By
The Hurlbut, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
75%
Staff Flu Vaccination
90%
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
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 2026Below state average. This facility received 38.1 complaints per 100 beds vs. a statewide rate of 57.4. 5 citations resulted from those complaints (4.7 per 100 beds vs. 5.3 statewide).
Total Complaints
41
55,669 statewide
Per 100 Occupied Beds
38.1
57.4 state avg
On-Site Inspections
6
7,566 statewide
Citations Issued
5
4.7 per 100 beds · avg 5.3
Facility-Reported Incidents
49%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 1 |
| Physical Environment | 2 |
| Quality of Care | 2 |
| Resident Rights | 1 |
| Total | 8 |
Enforcement & Fines
Jun 2016 – May 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