Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
4
No citations found
40% of all inspections
6
Resulted in citations
60% of all inspections
19 Total Citations — state avg: 23
Issued across those 6 inspections
15Standard Health
4Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Permitting Residents To Return To Facility
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Ltc And Icf/iid Sharing Plan With Patients
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Competent Nursing Staff
Standard Health Citation — quality of care
Qualified Persons
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Criminal History Record Check Process
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
General Requirements
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Frequency Of Meals/snacks At Bedtime
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Laboratory Services
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Personal Food Policy
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
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 2026Below state average. This facility received 49.7 complaints per 100 beds vs. a statewide rate of 55.0. 13 citations resulted from those complaints (7.7 per 100 beds vs. 3.0 statewide).
Total Complaints
84
55,221 statewide
Per 100 Occupied Beds
49.7
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
13
7.7 per 100 beds · avg 3.0
Facility-Reported Incidents
20%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 5 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 27 |
| Resident Rights | 8 |
| Total | 45 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $30,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 18, 2023
$2,000
Stipulation & Order #NH-24-006 · Signed January 2, 2024
Reason: Quality of Care
Reason: Quality of Care
March 17, 2023
$2,000
Stipulation & Order #NH-23-079 · Signed September 12, 2023
Reason: Resident Rights
Reason: Resident Rights
March 8, 2022
$4,000
Stipulation & Order #NH-23-017 · Signed February 15, 2023
Reason: Quality of Care
Reason: Quality of Care
September 30, 2013
$4,000
Stipulation & Order #NH-16-170 · Signed May 4, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
Date not yet available
$18,000
Stipulation & Order #NH-16-196 · Signed September 27, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies