Citations Summary
Feb 2022 – Jan 202618 Total Citations — state avg: 23
Issued in the reporting period
14Standard Health
4Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
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
Qaa Committee
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Criminal History Record Check Process
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
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
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 25.2 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.4 per 100 beds vs. 3.0 statewide).
Total Complaints
31
55,221 statewide
Per 100 Occupied Beds
25.2
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
3
2.4 per 100 beds · avg 3.0
Facility-Reported Incidents
48%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 8 |
| Resident Rights | 1 |
| Total | 13 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $16,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 7, 2025
$10,000
Stipulation & Order #NH-25-055 · Signed September 12, 2025
Reason: Physical Environment
Reason: Physical Environment
March 11, 2025
$2,000
Stipulation & Order #NH-25-056 · Signed September 12, 2025
Reason: Quality of Care
Reason: Quality of Care
December 19, 2022
$2,000
Stipulation & Order #NH-23-024 · Signed March 1, 2023
Reason: Physical Environment
Reason: Physical Environment
February 4, 2021
$2,000
Stipulation & Order #NH-21-120 · Signed June 25, 2021
Reason: Quality of Care
Reason: Quality of Care