Citations Summary
Jun 2022 โ May 20269 Inspections Conducted
3
No citations found
33% of all inspections
6
Resulted in citations
67% of all inspections
27 Total Citations โ state avg: 41
Issued across those 6 inspections
20Standard Health
7Life Safety Code
Severity of Citations
How serious were those 27 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 9 inspections in the current reporting window, 3 found no citations at all; inspectors issued 27 citations in total.
- Of those, 20 were standard health citations (quality of care) and 7 were related to the Life Safety Code (fire protection).
- The state logged 29 complaints about this facility; 8 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
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
3561302N
County
Orange
Phone
(845) 457-3155
Operated By
Montgomery Operating Company, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
90%
Staff Flu Vaccination
66%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Dialysis
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation โ quality of care
Pasarr Screening For Md & Id
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Smoking Regulations
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Behavioral Health Services
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Right To Be Informed/make Treatment Decisions
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Life Safety Code Citations
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation โ NFPA requirements
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 2026Below state average. This facility received 32.7 complaints per 100 beds vs. a statewide rate of 57.4. 8 citations resulted from those complaints (9.0 per 100 beds vs. 5.3 statewide).
Total Complaints
29
55,669 statewide
Per 100 Occupied Beds
32.7
57.4 state avg
On-Site Inspections
8
7,566 statewide
Citations Issued
8
9.0 per 100 beds ยท avg 5.3
Facility-Reported Incidents
38%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 2 |
| Total | 8 |