Citations Summary
Feb 2022 – Jan 202638 Inspections Conducted
31
No citations found
82% of all inspections
7
Resulted in citations
18% of all inspections
81 Total Citations — state avg: 23
Issued across those 7 inspections
75Standard Health
6Life Safety Code
Severity of Citations
How serious were those 81 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Laboratory Services
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas And Vacuum Piped Systems - Maintenance Pr
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Cardio-pulmonary Resuscitation (cpr)
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 93.6 complaints per 100 beds vs. a statewide rate of 55.0. 12 citations resulted from those complaints (6.4 per 100 beds vs. 3.0 statewide).
Total Complaints
176
55,221 statewide
Per 100 Occupied Beds
93.6
55.0 state avg
On-Site Inspections
66
8,103 statewide
Citations Issued
12
6.4 per 100 beds · avg 3.0
Facility-Reported Incidents
54%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 33 |
| Resident Rights | 13 |
| Total | 54 |
Enforcement & Fines
Feb 2016 – Jan 20266 enforcement actions totaling $44,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 4, 2024
$10,000
Stipulation & Order #NH-25-011 · Signed January 13, 2025
Reason: Quality of Care
Reason: Quality of Care
May 9, 2022
$10,000
Stipulation & Order #NH-22-127 · Signed August 24, 2022
Reason: Resident Rights
Reason: Resident Rights
November 13, 2020
$6,000
Stipulation & Order #NH-25-003 · Signed December 26, 2024
Reason: Infection Control
Reason: Infection Control
May 6, 2020
$4,000
Stipulation & Order #NH-25-002 · Signed January 2, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
September 17, 2019
$2,000
Stipulation & Order #NH-20-005 · Signed January 29, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
November 5, 2015
$12,000
Stipulation & Order #NH-16-125 · Signed April 4, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies