Citations Summary

Feb 2022 โ€“ Jan 2026
18 Total Citations โ€” state avg: 23
Issued in the reporting period
15Standard Health
3Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
November 12, 2025 Complaint Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 9, 2026
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 9, 2026
May 16, 2024 Certification/Complaint Survey 7 Health 6 LSC
โ–ผ
Standard Health Citations
Bedrails
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 15, 2024
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Resident Self-admin Meds-clinically Approp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 15, 2024
Multiple Occupancies - Construction Type
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 15, 2024
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 15, 2024
October 14, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 21, 2022
July 18, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Feb 2022 โ€“ Jan 2026
Below state average. This facility received 17.7 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
52
55,221 statewide
Per 100 Occupied Beds
17.7
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
2
0.7 per 100 beds ยท avg 3.0
Facility-Reported Incidents
73%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services3
Other Services0
Physical Environment1
Quality of Care6
Resident Rights0
Total10

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
3 enforcement actions totaling $22,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 30, 2020
$2,000
Stipulation & Order #NH-21-014 ยท Signed January 22, 2021
Reason: Quality of Care
January 8, 2018
$10,000
Stipulation & Order #NH-18-011 ยท Signed March 20, 2018
Reason: Multiple Deficiencies
July 13, 2012
$10,000
Stipulation & Order #NH-16-144 ยท Signed May 6, 2016
Reason: Quality of Care