Citations Summary
Feb 2022 – Jan 202616 Total Citations — state avg: 23
Issued in the reporting period
9Standard Health
7Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Treatment/devices To Maintain Hearing/vision
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Supervisory Signals
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Covid-19 Vaccination Of Facility Staff
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 7.4 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
7
55,221 statewide
Per 100 Occupied Beds
7.4
55.0 state avg
On-Site Inspections
6
8,103 statewide
Citations Issued
0
0.0 per 100 beds · avg 3.0
Facility-Reported Incidents
14%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 7 |
| Resident Rights | 2 |
| Total | 10 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 26, 2021
$2,000
Stipulation & Order #NH-22-178 · Signed December 20, 2022
Reason: Quality of Care
Reason: Quality of Care