Citations Summary
Feb 2022 – Jan 202615 Total Citations — state avg: 23
Issued in the reporting period
11Standard Health
4Life Safety Code
Severity of Citations
How serious were those 15 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
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
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
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
Dietary Services
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Multiple Occupancies
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
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 21.3 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (0.7 per 100 beds vs. 3.0 statewide).
Total Complaints
59
55,221 statewide
Per 100 Occupied Beds
21.3
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
2
0.7 per 100 beds · avg 3.0
Facility-Reported Incidents
27%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 11 |
| Resident Rights | 1 |
| Total | 16 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $36,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 15, 2023
$2,000
Stipulation & Order #NH-23-040 · Signed April 7, 2023
Reason: Infection Control
Reason: Infection Control
January 19, 2021
$4,000
Stipulation & Order #NH-21-141 · Signed August 5, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
October 19, 2019
$10,000
Stipulation & Order #NH-19-013 · Signed March 15, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
May 24, 2019
$10,000
Stipulation & Order #NH-19-045 · Signed October 15, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
November 20, 2012
$10,000
Stipulation & Order #NH-16-121 · Signed April 4, 2016
Reason: Quality of Care
Reason: Quality of Care