Citations Summary
Feb 2022 – Jan 202618 Inspections Conducted
10
No citations found
56% of all inspections
8
Resulted in citations
44% of all inspections
39 Total Citations — state avg: 23
Issued across those 8 inspections
34Standard Health
5Life Safety Code
Severity of Citations
How serious were those 39 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
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Life Safety Code Citations
Physical Environment
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
▼
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
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
▼
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
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 38.1 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (1.3 per 100 beds vs. 3.0 statewide).
Total Complaints
59
55,221 statewide
Per 100 Occupied Beds
38.1
55.0 state avg
On-Site Inspections
26
8,103 statewide
Citations Issued
2
1.3 per 100 beds · avg 3.0
Facility-Reported Incidents
20%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 22 |
| Resident Rights | 3 |
| Total | 31 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 9, 2022
$6,000
Stipulation & Order #NH-23-029 · Signed March 1, 2023
Reason: Infection Control
Reason: Infection Control
September 15, 2015
$4,000
Stipulation & Order #NH-16-168 · Signed May 31, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies