Citations Summary

Feb 2022 โ€“ Jan 2026
10 Inspections Conducted
6
No citations found
60% of all inspections
4
Resulted in citations
40% of all inspections
29 Total Citations โ€” state avg: 23
Issued across those 4 inspections
25Standard Health
4Life Safety Code
Severity of Citations
How serious were those 29 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
April 19, 2024 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Parenteral/iv Fluids
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 29, 2024
October 31, 2023 Certification/Complaint Survey 7 Health 12 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Comprehensive Assessments & Timing
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Develop/implement Abuse/neglect Policies
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Food In Form To Meet Individual Needs
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated December 13, 2023
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Building Construction Type And Height
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 20, 2023
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 13, 2023
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Elevators
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread December 13, 2023
Ep Testing Requirements
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread December 13, 2023
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 20, 2023
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
Vertical Openings - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 13, 2023
August 18, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 16, 2022
February 25, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 11, 2022
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Feb 2022 โ€“ Jan 2026
Above state average. This facility received 114.0 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (5.0 per 100 beds vs. 3.0 statewide).
Total Complaints
138
55,221 statewide
Per 100 Occupied Beds
114.0
55.0 state avg
On-Site Inspections
19
8,103 statewide
Citations Issued
6
5.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
17%
55% statewide
Citations by CategoryThis Facility
Administration4
Dietary Services12
Other Services0
Physical Environment18
Quality of Care67
Resident Rights24
Total125

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
8 enforcement actions totaling $62,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 31, 2023
$2,000
Stipulation & Order #NH-24-012 ยท Signed January 19, 2024
Reason: Resident Rights
November 5, 2020
$10,000
Stipulation & Order #NH-21-015 ยท Signed January 22, 2021
Reason: Quality of Care
October 5, 2020
$6,000
Stipulation & Order #NH-21-176 ยท Signed October 14, 2021
Reason: Quality of Care
June 29, 2020
$4,000
Stipulation & Order #NH-20-055 ยท Signed September 29, 2020
Reason: Multiple Deficiencies
April 24, 2020
$16,000
Stipulation & Order #NH-20-022 ยท Signed July 8, 2020
Reason: Multiple Deficiencies
June 5, 2019
$12,000
Stipulation & Order #NH-19-040 ยท Signed September 16, 2019
Reason: Multiple Deficiencies
January 5, 2018
$10,000
Stipulation & Order #NH-18-045 ยท Signed October 5, 2018
Reason: Multiple Deficiencies
Date not yet available
$2,000
Stipulation & Order #NH-17-040 ยท Signed July 6, 2017
Reason: Other Services