Citations Summary
Feb 2022 – Jan 202633 Inspections Conducted
22
No citations found
67% of all inspections
11
Resulted in citations
33% of all inspections
57 Total Citations — state avg: 23
Issued across those 11 inspections
52Standard Health
5Life Safety Code
Severity of Citations
How serious were those 57 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
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Physical Environment
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
Life Safety Code Citations
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
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
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
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
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
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
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
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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 37.6 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.0 per 100 beds vs. 3.0 statewide).
Total Complaints
114
55,221 statewide
Per 100 Occupied Beds
37.6
55.0 state avg
On-Site Inspections
42
8,103 statewide
Citations Issued
3
1.0 per 100 beds · avg 3.0
Facility-Reported Incidents
42%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 31 |
| Resident Rights | 11 |
| Total | 49 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $68,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 2, 2022
$6,000
Stipulation & Order #NH-23-015 · Signed February 6, 2023
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
November 2, 2022
$36,000
Stipulation & Order #NH-23-010 · Signed February 1, 2023
Reason: Other Services
Reason: Other Services
November 22, 2021
$2,000
Stipulation & Order #NH-22-087 · Signed May 25, 2022
Reason: Quality of Care
Reason: Quality of Care
December 18, 2020
$14,000
Stipulation & Order #NH-21-216 · Signed November 22, 2021
Reason: Quality of Care
Reason: Quality of Care
January 24, 2018
$10,000
Stipulation & Order #NH-19-015 · Signed April 8, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies