Citations Summary
Feb 2022 – Jan 202617 Inspections Conducted
10
No citations found
59% of all inspections
7
Resulted in citations
41% of all inspections
37 Total Citations — state avg: 23
Issued across those 7 inspections
32Standard Health
5Life Safety Code
Severity of Citations
How serious were those 37 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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
Feb 2022 – Jan 2026Above state average. This facility received 75.7 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (4.0 per 100 beds vs. 3.0 statewide).
Total Complaints
56
55,221 statewide
Per 100 Occupied Beds
75.7
55.0 state avg
On-Site Inspections
24
8,103 statewide
Citations Issued
3
4.0 per 100 beds · avg 3.0
Facility-Reported Incidents
46%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 19 |
| Resident Rights | 8 |
| Total | 31 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 10, 2023
$4,000
Stipulation & Order #NH-23-066 · Signed July 5, 2023
Reason: Quality of Care
Reason: Quality of Care
December 3, 2020
$2,000
Stipulation & Order #NH-21-012 · Signed January 22, 2021
Reason: Other Services
Reason: Other Services