NY DOH Inspection Report

Grand Manor Nursing & Rehabilitation Center

📍 700 White Plains Road, Bronx, NY 10473

Citations Summary

Feb 2022 – Jan 2026
49 Inspections Conducted
17
No citations found
35% of all inspections
32
Resulted in citations
65% of all inspections
88 Total Citations — state avg: 23
Issued across those 32 inspections
73Standard Health
15Life Safety Code
Severity of Citations
How serious were those 88 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
Reporting of alleged violations · December 9, 2025 · Not yet corrected

Inspection Details

Surveys with Citations Only
December 9, 2025 Certification/Complaint Survey 19 Health 7 LSC
▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Antibiotic Stewardship Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Covid-19 Immunization
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Discharge Process
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Facility Assessment
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread Not yet corrected
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Qualified Dietary Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
Required In-service Training For Nurse Aides
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated Not yet corrected
Resident Call System
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread Not yet corrected
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Infection Control
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern Not yet corrected
December 9, 2025 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated Not yet corrected
May 29, 2025 Certification/Complaint Survey 10 Health 6 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤 Pattern July 18, 2025
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 18, 2025
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 27, 2025
Infection Control
Standard Health Citation — quality of care
Level 0 👤 Scope July 18, 2025
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread July 25, 2025
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 18, 2025
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 18, 2025
Personal Privacy/confidentiality Of Records
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 18, 2025
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 18, 2025
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 18, 2025
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 8, 2025
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 8, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 8, 2025
Hvac
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern November 22, 2025
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 8, 2025
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 8, 2025
May 29, 2025 Complaint Survey 2 Health 0 LSC
▼
Standard Health Citations
Notice And Conveyance Of Personal Funds
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤 Pattern July 18, 2025
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern July 18, 2025
March 10, 2025 Complaint Survey 2 Health 0 LSC
▼
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated April 15, 2025
Quality Of Care
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated April 15, 2025
December 19, 2024 Complaint Survey 3 Health 0 LSC
▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤👤👤👤👤 Widespread February 20, 2025
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤👤👤👤👤 Widespread February 20, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤👤👤👤👤 Widespread February 20, 2025
November 21, 2024 Certification/Complaint Survey 21 Health 3 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread January 20, 2025
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 20, 2025
Behavioral Health Services
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
Behavioral Health Services
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated January 20, 2025
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated January 20, 2025
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated January 20, 2025
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated January 20, 2025
Governing Body
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 20, 2025
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread January 20, 2025
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 17, 2025
Payroll Based Journal
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread January 20, 2025
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 17, 2025
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Level 0 👤 Scope January 20, 2025
Self-determination
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 20, 2025
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 17, 2025
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread February 17, 2025
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 20, 2025
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern January 29, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated January 16, 2025
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern January 16, 2025
June 11, 2024 Certification/Complaint Survey 7 Health 5 LSC
▼
Standard Health Citations
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 2, 2024
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern August 2, 2024
Foot Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated August 2, 2024
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated August 2, 2024
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread August 2, 2024
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 2, 2024
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 2, 2024
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 22, 2024
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 22, 2024
Electrical Systems - Receptacles
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 1, 2024
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 22, 2024
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated July 22, 2024
June 11, 2024 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern August 2, 2024
February 20, 2024 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
January 30, 2024 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
December 26, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
December 22, 2023 Certification/Complaint Survey 3 Health 5 LSC
▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 29, 2024
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 29, 2024
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated January 29, 2024
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 2, 2024
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 2, 2024
Physical Environment
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread February 11, 2024
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 2, 2024
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated February 2, 2024
December 18, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
December 11, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
November 20, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
November 6, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
October 23, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
October 10, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
September 25, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
September 5, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
August 21, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
August 7, 2023 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 20, 2023
July 17, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
July 5, 2023 Certification/Complaint Survey 29 Health 12 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 8, 2023
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 8, 2023
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 8, 2023
Baseline Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 8, 2023
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 4, 2023
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 4, 2023
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 8, 2023
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 8, 2023
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 8, 2023
Entering Into Binding Arbitration Agreements
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 7, 2023
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern August 16, 2023
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern August 23, 2023
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 4, 2023
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 8, 2023
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 8, 2023
Provision Of Medically Related Social Service
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 8, 2023
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread August 25, 2023
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Level 0 👤 Scope September 1, 2023
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 4, 2023
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 4, 2023
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 8, 2023
Respect, Dignity/right To Have Prsnl Property
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated August 29, 2023
Respect, Dignity/right To Have Prsnl Property
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated August 29, 2023
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 24, 2023
Responsibilities Of Medical Director
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 8, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread October 5, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated October 5, 2023
Sufficient Nursing Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 8, 2023
Treatment/service For Dementia
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
Exit Signage
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated August 31, 2023
Pertinent Technical Standards
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
Plan Based On All Hazards Risk Assessment
Life Safety Code Citation — NFPA requirements
Level 1 · Potential for minimal harm 👤👤👤👤👤 Widespread August 31, 2023
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern August 31, 2023
April 27, 2023 Complaint Survey 1 Health 0 LSC
▼
Standard Health Citations
Laboratory Services
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated June 19, 2023
April 17, 2023 Covid-19 Survey 1 Health 0 LSC
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
December 15, 2022 Complaint Survey 2 Health 0 LSC
▼
Standard Health Citations
Organization And Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 16, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern January 16, 2023
August 3, 2022 Certification/Complaint Survey 21 Health 7 LSC
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Administration
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Bedrails
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Care Plan Timing And Revision
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 4 · Immediate Jeopardy 👤 Isolated September 28, 2022
Infection Prevention & Control
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Qualified Dietary Staff
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Self-determination
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤 Pattern September 28, 2022
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤 Isolated September 28, 2022
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 28, 2022
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread September 28, 2022
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Level 2 · Minor potential harm 👤👤👤 Pattern September 28, 2022
June 27, 2022 Covid-19 Survey 1 Health 0 LSC
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Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤👤👤👤👤 Widespread Not yet corrected
June 14, 2022 Complaint Survey 1 Health 0 LSC
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Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Level 2 · Minor potential harm 👤 Isolated July 30, 2022
May 20, 2022 Complaint Survey 1 Health 0 LSC
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Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Level 3 · Actual Harm 👤 Isolated July 18, 2022
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 2026
Above state average. This facility received 141.4 complaints per 100 beds vs. a statewide rate of 55.0. 29 citations resulted from those complaints (15.2 per 100 beds vs. 3.0 statewide).
Total Complaints
270
55,221 statewide
Per 100 Occupied Beds
141.4
55.0 state avg
On-Site Inspections
41
8,103 statewide
Citations Issued
29
15.2 per 100 beds · avg 3.0
Facility-Reported Incidents
58%
55% statewide
Citations by CategoryThis Facility
Administration6
Dietary Services12
Other Services1
Physical Environment28
Quality of Care50
Resident Rights26
Total123

Enforcement & Fines

Feb 2016 – Jan 2026
6 enforcement actions totaling $74,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 21, 2024
$42,000
Stipulation & Order #NH-25-047 · Signed August 27, 2025
Reason: Multiple Deficiencies
July 13, 2023
$2,000
Stipulation & Order #NH-24-001 · Signed December 15, 2023
Reason: Physical Environment
August 3, 2022
$4,000
Stipulation & Order #NH-22-164 · Signed December 6, 2022
Reason: Quality of Care
May 20, 2022
$10,000
Stipulation & Order #NH-22-145 · Signed September 16, 2022
Reason: Quality of Care
November 29, 2021
$10,000
Stipulation & Order #NH-22-025 · Signed January 25, 2022
Reason: Multiple Deficiencies
June 15, 2020
$6,000
Stipulation & Order #NH-23-009 · Signed January 18, 2023
Reason: Quality of Care