Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
7
No citations found
78% of all inspections
2
Resulted in citations
22% of all inspections
21 Total Citations — state avg: 23
Issued across those 2 inspections
17Standard Health
4Life 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
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Comprehensive Assessments & Timing
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Qrtly Assessment At Least Every 3 Months
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Compar
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
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 28.4 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (1.0 per 100 beds vs. 3.0 statewide).
Total Complaints
29
55,221 statewide
Per 100 Occupied Beds
28.4
55.0 state avg
On-Site Inspections
15
8,103 statewide
Citations Issued
1
1.0 per 100 beds · avg 3.0
Facility-Reported Incidents
31%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 14 |
| Resident Rights | 1 |
| Total | 17 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 7, 2023
$2,000
Stipulation & Order #NH-23-055 · Signed May 17, 2023
Reason: Infection Control
Reason: Infection Control
October 27, 2020
$2,000
Stipulation & Order #NH-21-096 · Signed May 17, 2021
Reason: Quality of Care
Reason: Quality of Care