Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
3
No citations found
38% of all inspections
5
Resulted in citations
62% of all inspections
18 Total Citations — state avg: 23
Issued across those 5 inspections
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
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Activities Daily Living (adls)/mntn Abilities
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 Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Organization And Administration
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Ltc And Icf/iid Sharing Plan With Patients
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Policies/procedures For Medical Documentation
Life Safety Code Citation — NFPA requirements
▼
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
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
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 2026Above state average. This facility received 113.6 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (4.9 per 100 beds vs. 3.0 statewide).
Total Complaints
92
55,221 statewide
Per 100 Occupied Beds
113.6
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
4
4.9 per 100 beds · avg 3.0
Facility-Reported Incidents
22%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 17 |
| Resident Rights | 4 |
| Total | 28 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
August 30, 2022
$10,000
Stipulation & Order #NH-22-169 · Signed November 30, 2022
Reason: Quality of Care
Reason: Quality of Care