Citations Summary

Feb 2022 โ€“ Jan 2026
13 Total Citations โ€” state avg: 23
Issued in the reporting period
7Standard Health
6Life Safety Code
Severity of Citations
How serious were those 13 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
March 7, 2025 Certification Survey 1 Health 2 LSC
โ–ผ
Standard Health Citations
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 2, 2025
Life Safety Code Citations
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 21, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 21, 2025
October 27, 2023 Certification Survey 0 Health 3 LSC
โ–ผ
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 14, 2023
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 14, 2023
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 14, 2023
December 12, 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
July 1, 2022 Certification Survey 2 Health 1 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 25, 2022
Infection Control
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope July 25, 2022
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 25, 2022
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 32.7 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
17
55,221 statewide
Per 100 Occupied Beds
32.7
55.0 state avg
On-Site Inspections
4
8,103 statewide
Citations Issued
0
0.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
94%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment0
Quality of Care0
Resident Rights0
Total0

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 13, 2021
$10,000
Stipulation & Order #NH-21-044 ยท Signed March 4, 2021
Reason: Quality of Care