Citations Summary
Feb 2022 – Jan 202613 Inspections Conducted
10
No citations found
77% of all inspections
3
Resulted in citations
23% of all inspections
35 Total Citations — state avg: 23
Issued across those 3 inspections
30Standard Health
5Life Safety Code
Severity of Citations
How serious were those 35 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Means Of Egress Requirements - Other
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
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 54.5 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (2.0 per 100 beds vs. 3.0 statewide).
Total Complaints
54
55,221 statewide
Per 100 Occupied Beds
54.5
55.0 state avg
On-Site Inspections
25
8,103 statewide
Citations Issued
2
2.0 per 100 beds · avg 3.0
Facility-Reported Incidents
63%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 14 |
| Resident Rights | 1 |
| Total | 20 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 6, 2023
$2,000
Stipulation & Order #NH-23-103 · Signed October 26, 2023
Reason: Infection Control
Reason: Infection Control
July 30, 2021
$2,000
Stipulation & Order #NH-22-019 · Signed January 20, 2022
Reason: Quality of Care
Reason: Quality of Care
October 28, 2019
$10,000
Stipulation & Order #NH-20-010 · Signed February 25, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies