Citations Summary
Jun 2022 – May 20265 Inspections Conducted
4
No citations found
80% of all inspections
1
Resulted in citations
20% of all inspections
6 Total Citations — state avg: 41
Issued across those 1 inspections
3Standard Health
3Life Safety Code
Severity of Citations
How serious were those 6 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 5 inspections in the current reporting window, 4 found no citations at all; inspectors issued 6 citations in total.
- Of those, 3 were standard health citations (quality of care) and 3 were related to the Life Safety Code (fire protection).
- The state logged 110 complaints about this facility; 12 led to on-site inspections.
- The state has 1 formal enforcement action (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
5001300N
County
Steuben
Phone
(607) 654-2400
Operated By
Pavilion Operations, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
80%
Staff Flu Vaccination
97%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
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
Jun 2022 – May 2026Above state average. This facility received 96.4 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (2.6 per 100 beds vs. 5.3 statewide).
Total Complaints
110
55,669 statewide
Per 100 Occupied Beds
96.4
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
3
2.6 per 100 beds · avg 5.3
Facility-Reported Incidents
55%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 1 |
| Resident Rights | 0 |
| Total | 2 |
Enforcement & Fines
Jun 2016 – May 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.
January 15, 2021
$10,000
Stipulation & Order #NH-21-125 · Signed June 25, 2021
Reason: Quality of Care
Reason: Quality of Care