Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
2
No citations found
29% of all inspections
5
Resulted in citations
71% of all inspections
21 Total Citations — state avg: 23
Issued across those 5 inspections
13Standard Health
8Life Safety Code
Severity of Citations
How serious were those 21 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
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Call System
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
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Dietary Services
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
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
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
▼
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Primary/alternate Means For Communication
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
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 2026Below state average. This facility received 42.6 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.8 per 100 beds vs. 3.0 statewide).
Total Complaints
46
55,221 statewide
Per 100 Occupied Beds
42.6
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
3
2.8 per 100 beds · avg 3.0
Facility-Reported Incidents
65%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 9 |
| Resident Rights | 3 |
| Total | 15 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $22,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 26, 2020
$22,000
Stipulation & Order #NH-21-035 · Signed February 16, 2021
Reason: Quality of Care
Reason: Quality of Care