Citations Summary
Feb 2022 – Jan 202621 Inspections Conducted
10
No citations found
48% of all inspections
11
Resulted in citations
52% of all inspections
40 Total Citations — state avg: 23
Issued across those 11 inspections
31Standard Health
9Life Safety Code
Severity of Citations
How serious were those 40 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
Sufficient Nursing Staff
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Egress Doors
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
General Safety Standards Of Existing Nh
Standard Health Citation — quality of care
Notice Of Bed Hold Policy Before/upon Trnsfr
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Gas Equipment - Qualifications And Training
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
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
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
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 154.8 complaints per 100 beds vs. a statewide rate of 55.0. 27 citations resulted from those complaints (23.5 per 100 beds vs. 3.0 statewide).
Total Complaints
178
55,221 statewide
Per 100 Occupied Beds
154.8
55.0 state avg
On-Site Inspections
21
8,103 statewide
Citations Issued
27
23.5 per 100 beds · avg 3.0
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 7 |
| Dietary Services | 5 |
| Other Services | 0 |
| Physical Environment | 17 |
| Quality of Care | 50 |
| Resident Rights | 10 |
| Total | 89 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $94,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 9, 2025
$30,000
Stipulation & Order #NH-25-087 · Signed December 1, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
July 5, 2024
$2,000
Stipulation & Order #NH-24-060 · Signed October 21, 2024
Reason: Physical Environment
Reason: Physical Environment
February 23, 2021
$48,000
Stipulation & Order #NH-21-157 · Signed September 21, 2021
Reason: Quality of Care
Reason: Quality of Care
October 21, 2016
$4,000
Stipulation & Order #NH-17-030 · Signed April 12, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
April 4, 2013
$10,000
Stipulation & Order #NH-16-156 · Signed May 4, 2016
Reason: Quality of Care
Reason: Quality of Care