Citations Summary
Feb 2022 – Jan 202612 Inspections Conducted
10
No citations found
83% of all inspections
2
Resulted in citations
17% of all inspections
32 Total Citations — state avg: 23
Issued across those 2 inspections
22Standard Health
10Life Safety Code
Severity of Citations
How serious were those 32 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
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
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop Ep Plan, Review And Update Annually
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 17.1 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
17.1
55.0 state avg
On-Site Inspections
19
8,103 statewide
Citations Issued
2
0.7 per 100 beds · avg 3.0
Facility-Reported Incidents
33%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 11 |
| Resident Rights | 4 |
| Total | 16 |
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.
May 11, 2020
$10,000
Stipulation & Order #NH-20-047 · Signed September 25, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies