Citations Summary

Jun 2022 โ€“ May 2026
22 Inspections Conducted
5
No citations found
23% of all inspections
17
Resulted in citations
77% of all inspections
170 Total Citations โ€” state avg: 41
Issued across those 17 inspections
140Standard Health
30Life Safety Code
Severity of Citations
How serious were those 170 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
Free from abuse and neglect ยท January 23, 2025 ยท Not yet corrected
In plain language
  • Across 22 inspections in the current reporting window, 5 found no citations at all; inspectors issued 170 citations in total.
  • Of those, 140 were standard health citations (quality of care) and 30 were related to the Life Safety Code (fire protection).
  • The state logged 363 complaints about this facility; 37 led to on-site inspections.
  • The state has 9 formal enforcement actions (fines or stipulations) on record.

A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.

Provider Information

Type
Nursing Home
Operating Certificate
3301328N
County
Onondaga
Phone
(315) 449-6000
Operated By
VDRNC, LLC (For Profit)
DOH Regional Office
Central New York
Occupancy Rate
73%
Staff Flu Vaccination
75%

Inspection Details

Surveys with Citations Only
March 11, 2026 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Quality Of Care
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated April 2, 2026
March 4, 2026 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated April 2, 2026
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated April 2, 2026
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 2, 2026
February 3, 2026 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 3, 2026
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 3, 2026
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 3, 2026
February 3, 2026 COMPLAINT Survey 9 Health 0 LSC
โ–ผ
Standard Health Citations
Compliance And Ethics Program
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 3, 2026
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated March 3, 2026
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated March 3, 2026
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 3, 2026
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated March 3, 2026
Quality Of Care
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated March 3, 2026
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 3, 2026
Resident Records - Identifiable Information
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 3, 2026
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 3, 2026
January 12, 2026 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated February 3, 2026
December 11, 2025 CERTIFICATION/COMPLAINT Survey 25 Health 8 LSC
โ–ผ
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 3, 2026
Administration
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Department Criminal History Review
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope February 3, 2026
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 27, 2026
Dialysis
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 3, 2026
Dispose Garbage And Refuse Properly
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 27, 2026
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 27, 2026
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 7, 2026
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 27, 2026
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 27, 2026
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Qapi/qaa Improvement Activities
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 27, 2026
Resident Records - Identifiable Information
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 4, 2026
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Resident Self-admin Meds-clinically Approp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 3, 2026
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 27, 2026
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope February 24, 2026
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope February 24, 2026
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 27, 2026
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 3, 2026
Self-determination
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 27, 2026
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 3, 2026
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2026
Doors With Self-closing Devices
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2026
Egress Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2026
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2026
Elevators
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 19, 2026
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2026
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2026
Vertical Openings - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2026
July 14, 2025 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 19, 2025
April 17, 2025 CERTIFICATION/COMPLAINT Survey 26 Health 9 LSC
โ–ผ
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Bedrails
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Department Criminal History Review
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope June 3, 2025
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread June 3, 2025
Free From Misappropriation/exploitation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread June 3, 2025
Maintains Effective Pest Control Program
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Nutrition/hydration Status Maintenance
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Pain Management
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Quality Of Care
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated June 3, 2025
Resident Allergies, Preferences, Substitutes
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Resident Self-admin Meds-clinically Approp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope June 3, 2025
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Self-determination
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2025
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2025
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 28, 2025
Utilities - Gas And Electric
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2025
January 23, 2025 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated Not yet corrected
November 20, 2023 COVID19 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
October 26, 2023 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Maintains Effective Pest Control Program
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 29, 2023
September 13, 2023 COMPLAINT Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Notice Requirements Before Transfer/discharge
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 14, 2023
Preparation For Safe/orderly Transfer/dschrg
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated September 14, 2023
July 28, 2023 CERTIFICATION/COMPLAINT Survey 16 Health 5 LSC
โ–ผ
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Essential Equipment, Safe Operating Condition
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 30, 2023
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 30, 2023
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Maintains Effective Pest Control Program
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Nurse Aide Registry Verification, Retraining
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Provided Diet Meets Needs Of Each Resident
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope August 30, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 30, 2023
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 30, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread August 30, 2023
Rubbish Chutes, Incinerators, And Laundry Chu
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
Vertical Openings - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 30, 2023
January 25, 2023 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 28, 2023
November 3, 2022 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 14, 2022
October 17, 2022 COVID19 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 22, 2022 COMPLAINT Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 14, 2022
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 14, 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

Jun 2022 โ€“ May 2026
Above state average. This facility received 86.0 complaints per 100 beds vs. a statewide rate of 57.4. 74 citations resulted from those complaints (17.5 per 100 beds vs. 5.3 statewide).
Total Complaints
363
55,669 statewide
Per 100 Occupied Beds
86.0
57.4 state avg
On-Site Inspections
37
7,566 statewide
Citations Issued
74
17.5 per 100 beds ยท avg 5.3
Facility-Reported Incidents
33%
55% statewide
Citations by CategoryThis Facility
Administration3
Dietary Services4
Other Services3
Physical Environment4
Quality of Care8
Resident Rights9
Total31

Enforcement & Fines

Jun 2016 โ€“ May 2026
9 enforcement actions totaling $116,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 18, 2025
$34,000
Stipulation & Order #NH-25-079 ยท Signed November 6, 2025
Reason: Multiple Deficiencies
January 23, 2025
$10,000
Stipulation & Order #NH-25-078 ยท Signed November 6, 2025
Reason: Resident Rights
September 13, 2023
$4,000
Stipulation & Order #NH-24-030 ยท Signed May 24, 2024
Reason: Other Services
July 28, 2023
$2,000
Stipulation & Order #NH-24-013 ยท Signed January 17, 2024
Reason: Quality of Care
June 21, 2021
$30,000
Stipulation & Order #NH-22-042 ยท Signed February 22, 2022
Reason: Quality of Care
October 5, 2018
$2,000
Stipulation & Order #NH-19-009 ยท Signed January 9, 2019
Reason: Multiple Deficiencies
December 19, 2017
$10,000
Stipulation & Order #NH-18-033 ยท Signed August 8, 2018
Reason: Multiple Deficiencies
October 14, 2015
$14,000
Stipulation & Order #NH-16-172 ยท Signed June 6, 2016
Reason: Multiple Deficiencies
December 5, 2012
$10,000
Stipulation & Order #NH-17-010 ยท Signed January 11, 2017
Reason: Quality of Care