Citations Summary
Feb 2022 – Jan 202613 Inspections Conducted
5
No citations found
38% of all inspections
8
Resulted in citations
62% of all inspections
26 Total Citations — state avg: 23
Issued across those 8 inspections
20Standard Health
6Life Safety Code
Severity of Citations
How serious were those 26 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
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
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Quality Of Care
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
Notice Of Bed Hold Policy Before/upon Trnsfr
Standard Health Citation — quality of care
Personal Food Policy
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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
Feb 2022 – Jan 2026Above state average. This facility received 123.9 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (3.5 per 100 beds vs. 3.0 statewide).
Total Complaints
140
55,221 statewide
Per 100 Occupied Beds
123.9
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
4
3.5 per 100 beds · avg 3.0
Facility-Reported Incidents
69%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 5 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 14 |
| Resident Rights | 5 |
| Total | 28 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 10, 2020
$24,000
Stipulation & Order #NH-21-016 · Signed January 22, 2021
Reason: Quality of Care
Reason: Quality of Care