Citations Summary
Feb 2022 – Jan 202617 Inspections Conducted
12
No citations found
71% of all inspections
5
Resulted in citations
29% of all inspections
29 Total Citations — state avg: 23
Issued across those 5 inspections
25Standard Health
4Life Safety Code
Severity of Citations
How serious were those 29 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Free From Abuse And Neglect
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
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Pasarr Screening For Md & Id
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Quality Of Care
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
Right To Be Free From Chemical Restraints
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas Equipment - Labeling Equipment And Cylind
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
▼
Standard Health Citations
Dialysis
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
Responsibilities Of Providers; Required Notif
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
Gas Equipment - Precautions For Handling Oxyg
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
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 74.9 complaints per 100 beds vs. a statewide rate of 55.0. 10 citations resulted from those complaints (4.4 per 100 beds vs. 3.0 statewide).
Total Complaints
170
55,221 statewide
Per 100 Occupied Beds
74.9
55.0 state avg
On-Site Inspections
20
8,103 statewide
Citations Issued
10
4.4 per 100 beds · avg 3.0
Facility-Reported Incidents
29%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 6 |
| Dietary Services | 8 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 74 |
| Resident Rights | 22 |
| Total | 116 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 9, 2021
$10,000
Stipulation & Order #NH-21-116 · Signed June 9, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
October 8, 2019
$10,000
Stipulation & Order #NH-20-007 · Signed January 9, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies