Citations Summary
Feb 2022 – Jan 20265 Inspections Conducted
2
No citations found
40% of all inspections
3
Resulted in citations
60% of all inspections
20 Total Citations — state avg: 23
Issued across those 3 inspections
15Standard Health
5Life Safety Code
Severity of Citations
How serious were those 20 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
Facility Assessment
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
Sufficient Nursing Staff
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
Gas And Vacuum Piped Systems - Warning System
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Activities Daily Living (adls)/mntn Abilities
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
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
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
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
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 47.7 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (3.0 per 100 beds vs. 3.0 statewide).
Total Complaints
63
55,221 statewide
Per 100 Occupied Beds
47.7
55.0 state avg
On-Site Inspections
12
8,103 statewide
Citations Issued
4
3.0 per 100 beds · avg 3.0
Facility-Reported Incidents
43%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 13 |
| Resident Rights | 4 |
| Total | 21 |
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.
August 31, 2022
$2,000
Stipulation & Order #NH-23-067 · Signed July 13, 2023
Reason: Infection Control
Reason: Infection Control