Citations Summary
Feb 2022 – Jan 202622 Inspections Conducted
15
No citations found
68% of all inspections
7
Resulted in citations
32% of all inspections
60 Total Citations — state avg: 23
Issued across those 7 inspections
52Standard Health
8Life Safety Code
Severity of Citations
How serious were those 60 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Right To Choose/be Informed Attendg Physician
Standard Health Citation — quality of care
▼
Standard Health Citations
Provision Of Medically Related Social Service
Standard Health Citation — quality of care
▼
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 127.0 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (4.5 per 100 beds vs. 3.0 statewide).
Total Complaints
141
55,221 statewide
Per 100 Occupied Beds
127.0
55.0 state avg
On-Site Inspections
44
8,103 statewide
Citations Issued
5
4.5 per 100 beds · avg 3.0
Facility-Reported Incidents
30%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 4 |
| Dietary Services | 7 |
| Other Services | 0 |
| Physical Environment | 5 |
| Quality of Care | 39 |
| Resident Rights | 14 |
| Total | 69 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 21, 2025
$10,000
Stipulation & Order #NH-25-069 · Signed October 10, 2025
Reason: Quality of Care
Reason: Quality of Care
November 29, 2021
$2,000
Stipulation & Order #NH-22-008 · Signed January 13, 2022
Reason: Quality of Care
Reason: Quality of Care
January 26, 2021
$4,000
Stipulation & Order #NH-21-040 · Signed March 13, 2021
Reason: Other Services
Reason: Other Services
October 16, 2018
$2,000
Stipulation & Order #NH-19-035 · Signed August 19, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies