Citations Summary
Feb 2022 – Jan 202615 Inspections Conducted
8
No citations found
53% of all inspections
7
Resulted in citations
47% of all inspections
28 Total Citations — state avg: 23
Issued across those 7 inspections
25Standard Health
3Life Safety Code
Severity of Citations
How serious were those 28 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Comprehensive Assessments & Timing
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
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
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
▼
Standard Health Citations
Facility Assessment
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 2026Below state average. This facility received 39.3 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.1 per 100 beds vs. 3.0 statewide).
Total Complaints
55
55,221 statewide
Per 100 Occupied Beds
39.3
55.0 state avg
On-Site Inspections
18
8,103 statewide
Citations Issued
3
2.1 per 100 beds · avg 3.0
Facility-Reported Incidents
38%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 15 |
| Resident Rights | 4 |
| Total | 20 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 16, 2022
$4,000
Stipulation & Order #NH-23-047 · Signed April 19, 2023
Reason: Infection Control
Reason: Infection Control