NY DOH Inspection Report

Bishop Rehabilitation and Nursing Center

📍 918 James Street, Syracuse, NY 13203

Citations Summary

Feb 2022 – Jan 2026
16 Inspections Conducted
3
No citations found
19% of all inspections
13
Resulted in citations
81% of all inspections
106 Total Citations — state avg: 23
Issued across those 13 inspections
85Standard Health
21Life Safety Code
Severity of Citations
How serious were those 106 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
May 16, 2025 Certification/Complaint Survey 6 Health 10 LSC
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated April 13, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 24, 2025
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Corridor - Openings
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Elevators
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 24, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 24, 2025
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Multiple Occupancies - Construction Type
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 24, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 24, 2025
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 24, 2025
December 20, 2024 Certification/Complaint Survey 9 Health 11 LSC
▼
Standard Health Citations
Dialysis
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
Grievances
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 14, 2025
Personal Privacy/confidentiality Of Records
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 13, 2025
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated March 5, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 13, 2025
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern February 13, 2025
January 19, 2024 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern February 16, 2024
January 19, 2024 Complaint Survey 0 Health 1 LSC
▼
Life Safety Code Citations
Sprinkler System - Out Of Service
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern February 19, 2024
October 13, 2023 Complaint Survey 0 Health 1 LSC
▼
Life Safety Code Citations
Evacuation And Relocation Plan
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 22, 2023
June 28, 2023 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 24, 2023
May 24, 2023 Certification/Complaint Survey 20 Health 10 LSC
▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 19, 2023
Competent Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Discharge Planning Process
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Resident Call System
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 19, 2023
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 19, 2023
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread July 18, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Rubbish Chutes, Incinerators, And Laundry Chu
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 10, 2023
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 18, 2023
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern July 18, 2023
March 5, 2023 Complaint Survey 3 Health 0 LSC
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated March 27, 2023
Pain Management
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated March 27, 2023
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated March 31, 2023
January 19, 2023 Complaint Survey 6 Health 0 LSC
▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 7, 2023
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 7, 2023
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤👤👤 Pattern February 7, 2023
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 7, 2023
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 7, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated February 7, 2023
November 2, 2022 Certification/Complaint Survey 28 Health 17 LSC
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread December 17, 2022
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread December 17, 2022
Criminal History Record Check Process
Standard Health Citation — quality of care
Level 0 👤 Scope December 17, 2022
Dialysis
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Facility Assessment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread December 17, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread December 17, 2022
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Frequency Of Meals/snacks At Bedtime
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread December 17, 2022
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 19, 2023
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 19, 2023
Other Laws, Codes, Rules And Regulations.
Standard Health Citation — quality of care
Level 0 👤 Scope December 17, 2022
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread January 19, 2023
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 19, 2023
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Resident Call System
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Level 0 👤 Scope December 17, 2022
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Sufficient Dietary Support Personnel
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Sufficient Dietary Support Personnel
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Fire Drills
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Multiple Occupancies - Construction Type
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern December 17, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated December 17, 2022
September 7, 2022 Complaint Survey 6 Health 0 LSC
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 10, 2022
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 10, 2022
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 10, 2022
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 10, 2022
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 10, 2022
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated September 27, 2022
May 4, 2022 Certification/Complaint Survey 20 Health 21 LSC
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Behavioral Health Services
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Covid-19 Immunization
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Frequency Of Meals/snacks At Bedtime
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern June 15, 2022
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Infection Control
Standard Health Citation — quality of care
Level 0 👤 Scope June 15, 2022
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern June 15, 2022
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Resident Call System
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 15, 2022
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern June 15, 2022
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Level 0 👤 Scope June 15, 2022
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 15, 2022
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Corridors - Areas Open To Corridor
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 22, 2022
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Elevators
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 22, 2022
Exit Signage
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Hospital Cah And Ltc Emergency Power
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread June 22, 2022
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 22, 2022
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 7, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern June 22, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated June 22, 2022
February 28, 2022 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
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 2026
Above state average. This facility received 152.0 complaints per 100 beds vs. a statewide rate of 55.0. 64 citations resulted from those complaints (28.7 per 100 beds vs. 3.0 statewide).
Total Complaints
339
55,221 statewide
Per 100 Occupied Beds
152.0
55.0 state avg
On-Site Inspections
72
8,103 statewide
Citations Issued
64
28.7 per 100 beds · avg 3.0
Facility-Reported Incidents
50%
55% statewide
Citations by CategoryThis Facility
Administration3
Dietary Services28
Other Services0
Physical Environment23
Quality of Care118
Resident Rights42
Total214

Enforcement & Fines

Feb 2016 – Jan 2026
16 enforcement actions totaling $224,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 11, 2024
$72,000
Stipulation & Order #NH-25-013 · Signed February 13, 2025
Reason: Multiple Deficiencies
December 5, 2023
$14,000
Stipulation & Order #NH-24-078 · Signed November 12, 2024
Reason: Multiple Deficiencies
May 24, 2023
$2,000
Stipulation & Order #NH-23-074 · Signed September 7, 2023
Reason: Infection Control
March 2, 2023
$10,000
Stipulation & Order #NH-23-056 · Signed June 5, 2023
Reason: Quality of Care
January 19, 2023
$2,000
Stipulation & Order #NH-23-062 · Signed June 20, 2023
Reason: Quality of Care
September 7, 2022
$6,000
Stipulation & Order #NH-23-007 · Signed January 30, 2023
Reason: Quality of Care
May 4, 2022
$6,000
Stipulation & Order #NH-22-144 · Signed September 15, 2022
Reason: Quality of Care
October 25, 2021
$22,000
Stipulation & Order #NH-22-076 · Signed May 17, 2022
Reason: Multiple Deficiencies
September 25, 2021
$14,000
Stipulation & Order #NH-21-200 · Signed November 1, 2021
Reason: Quality of Care
December 4, 2020
$10,000
Stipulation & Order #NH-21-168 · Signed September 27, 2021
Reason: Quality of Care
December 20, 2019
$10,000
Stipulation & Order #NH-21-041 · Signed March 1, 2021
Reason: Quality of Care
August 14, 2019
$2,000
Stipulation & Order #NH-19-052 · Signed December 9, 2019
Reason: Multiple Deficiencies
October 25, 2016
$10,000
Stipulation & Order #NH-17-031 · Signed April 17, 2017
Reason: Quality of Care
March 22, 2016
$10,000
Stipulation & Order #NH-16-203 · Signed October 24, 2016
Reason: Quality of Care
October 29, 2015
$10,000
Stipulation & Order #NH-16-158 · Signed May 4, 2016
Reason: Quality of Care
Date not yet available
$24,000
Stipulation & Order #NH-18-026 · Signed May 9, 2018
Reason: Multiple Deficiencies