Citations Summary
Feb 2022 – Jan 202614 Inspections Conducted
8
No citations found
57% of all inspections
6
Resulted in citations
43% of all inspections
44 Total Citations — state avg: 23
Issued across those 6 inspections
36Standard Health
8Life Safety Code
Severity of Citations
How serious were those 44 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Entering Into Binding Arbitration Agreements
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
▼
Standard Health Citations
Laboratory Services
Standard Health Citation — quality of care
▼
Standard Health Citations
Criminal History Record Check Process
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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 2026Above state average. This facility received 63.7 complaints per 100 beds vs. a statewide rate of 55.0. 12 citations resulted from those complaints (5.1 per 100 beds vs. 3.0 statewide).
Total Complaints
151
55,221 statewide
Per 100 Occupied Beds
63.7
55.0 state avg
On-Site Inspections
29
8,103 statewide
Citations Issued
12
5.1 per 100 beds · avg 3.0
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 4 |
| Dietary Services | 7 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 31 |
| Resident Rights | 13 |
| Total | 58 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 19, 2022
$10,000
Stipulation & Order #NH-22-140 · Signed September 16, 2022
Reason: Resident Rights
Reason: Resident Rights
January 6, 2021
$4,000
Stipulation & Order #NH-21-064 · Signed April 1, 2021
Reason: Quality of Care
Reason: Quality of Care
November 1, 2017
$10,000
Stipulation & Order #NH-19-024 · Signed June 11, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies