Citations Summary
Feb 2022 – Jan 202613 Inspections Conducted
7
No citations found
54% of all inspections
6
Resulted in citations
46% of all inspections
39 Total Citations — state avg: 23
Issued across those 6 inspections
31Standard Health
8Life Safety Code
Severity of Citations
How serious were those 39 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Discharge Process
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Right To Be Free From Chemical Restraints
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Use Of Outside Resources
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
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 101.3 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (2.5 per 100 beds vs. 3.0 statewide).
Total Complaints
239
55,221 statewide
Per 100 Occupied Beds
101.3
55.0 state avg
On-Site Inspections
25
8,103 statewide
Citations Issued
6
2.5 per 100 beds · avg 3.0
Facility-Reported Incidents
79%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 9 |
| Resident Rights | 3 |
| Total | 16 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 20, 2024
$2,000
Stipulation & Order #NH-24-073 · Signed November 5, 2024
Reason: Quality of Care
Reason: Quality of Care
November 8, 2021
$2,000
Stipulation & Order #NH-23-013 · Signed February 6, 2023
Reason: Quality of Care
Reason: Quality of Care