Citations Summary

Feb 2022 โ€“ Jan 2026
5 Inspections Conducted
2
No citations found
40% of all inspections
3
Resulted in citations
60% of all inspections
16 Total Citations โ€” state avg: 23
Issued across those 3 inspections
12Standard Health
4Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
January 2, 2025 Certification Survey 2 Health 1 LSC
โ–ผ
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 25, 2025
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 25, 2025
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 27, 2025
November 13, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
September 25, 2023 Certification/Complaint Survey 4 Health 3 LSC
โ–ผ
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 17, 2023
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 17, 2023
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 17, 2023
Pain Management
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 17, 2023
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 11, 2023
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 17, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 13, 2023
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
Below state average. This facility received 27.5 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (2.2 per 100 beds vs. 3.0 statewide).
Total Complaints
25
55,221 statewide
Per 100 Occupied Beds
27.5
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
2
2.2 per 100 beds ยท avg 3.0
Facility-Reported Incidents
32%
55% statewide
Citations by CategoryThis Facility
Administration1
Dietary Services0
Other Services0
Physical Environment0
Quality of Care8
Resident Rights6
Total15

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $8,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 3, 2013
$8,000
Stipulation & Order #NH-16-108 ยท Signed March 1, 2016
Reason: Multiple Deficiencies