Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
3
No citations found
30% of all inspections
7
Resulted in citations
70% of all inspections
29 Total Citations — state avg: 23
Issued across those 7 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
Care Plan Timing And Revision
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Pain Management
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
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Drills
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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 2026Below state average. This facility received 17.4 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (0.7 per 100 beds vs. 3.0 statewide).
Total Complaints
49
55,221 statewide
Per 100 Occupied Beds
17.4
55.0 state avg
On-Site Inspections
18
8,103 statewide
Citations Issued
2
0.7 per 100 beds · avg 3.0
Facility-Reported Incidents
55%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 9 |
| Resident Rights | 2 |
| Total | 13 |
Enforcement & Fines
Feb 2016 – Jan 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.
February 13, 2024
$10,000
Stipulation & Order #NH-24-032 · Signed May 24, 2024
Reason: Quality of Care
Reason: Quality of Care