Citations Summary
Feb 2022 – Jan 202614 Inspections Conducted
10
No citations found
71% of all inspections
4
Resulted in citations
29% of all inspections
22 Total Citations — state avg: 23
Issued across those 4 inspections
17Standard Health
5Life Safety Code
Severity of Citations
How serious were those 22 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Daily Living (adls)/mntn Abilities
Standard Health Citation — quality of care
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
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
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Gas Equipment - Precautions For Handling Oxyg
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Permitting Residents To Return To Facility
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Subdivision Of Building Spaces - Smoke Barrie
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 74.4 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (4.3 per 100 beds vs. 3.0 statewide).
Total Complaints
87
55,221 statewide
Per 100 Occupied Beds
74.4
55.0 state avg
On-Site Inspections
14
8,103 statewide
Citations Issued
5
4.3 per 100 beds · avg 3.0
Facility-Reported Incidents
33%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 13 |
| Quality of Care | 17 |
| Resident Rights | 7 |
| Total | 39 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 10, 2024
$10,000
Stipulation & Order #NH-25-040 · Signed July 30, 2025
Reason: Quality of Care
Reason: Quality of Care
January 21, 2022
$2,000
Stipulation & Order #NH-22-068 · Signed May 4, 2022
Reason: Quality of Care
Reason: Quality of Care
February 24, 2021
$6,000
Stipulation & Order #NH-21-184 · Signed October 20, 2021
Reason: Quality of Care
Reason: Quality of Care
December 29, 2020
$6,000
Stipulation & Order #NH-21-186 · Signed October 12, 2021
Reason: Quality of Care
Reason: Quality of Care