Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
2
No citations found
50% of all inspections
2
Resulted in citations
50% of all inspections
10 Total Citations — state avg: 23
Issued across those 2 inspections
7Standard Health
3Life Safety Code
Severity of Citations
How serious were those 10 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Qrtly Assessment At Least Every 3 Months
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Use Of Outside Resources
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
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 2026Above state average. This facility received 69.5 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (1.7 per 100 beds vs. 3.0 statewide).
Total Complaints
41
55,221 statewide
Per 100 Occupied Beds
69.5
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
1
1.7 per 100 beds · avg 3.0
Facility-Reported Incidents
54%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 8 |
| Resident Rights | 1 |
| Total | 13 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $58,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 16, 2020
$2,000
Stipulation & Order #NH-21-031 · Signed February 9, 2021
Reason: Quality of Care
Reason: Quality of Care
October 19, 2020
$10,000
Stipulation & Order #NH-21-194 · Signed October 27, 2021
Reason: Quality of Care
Reason: Quality of Care
June 1, 2020
$14,000
Stipulation & Order #NH-20-058 · Signed October 6, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
March 19, 2019
$20,000
Stipulation & Order #NH-19-033 · Signed July 22, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
February 12, 2013
$12,000
Stipulation & Order #NH-16-159 · Signed May 4, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies