Citations Summary
Feb 2022 – Jan 202611 Inspections Conducted
5
No citations found
45% of all inspections
6
Resulted in citations
55% of all inspections
33 Total Citations — state avg: 23
Issued across those 6 inspections
28Standard Health
5Life Safety Code
Severity of Citations
How serious were those 33 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
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
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Dietary Services
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Free From Abuse And Neglect
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
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
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
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 53.1 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (2.9 per 100 beds vs. 3.0 statewide).
Total Complaints
110
55,221 statewide
Per 100 Occupied Beds
53.1
55.0 state avg
On-Site Inspections
21
8,103 statewide
Citations Issued
6
2.9 per 100 beds · avg 3.0
Facility-Reported Incidents
73%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 11 |
| Resident Rights | 2 |
| Total | 21 |
Enforcement & Fines
Feb 2016 – Jan 20265 enforcement actions totaling $58,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 10, 2025
$30,000
Stipulation & Order #NH-25-038 · Signed July 23, 2025
Reason: Quality of Care
Reason: Quality of Care
May 18, 2023
$10,000
Stipulation & Order #NH-23-109 · Signed December 6, 2023
Reason: Quality of Care
Reason: Quality of Care
April 20, 2021
$10,000
Stipulation & Order #NH-21-155 · Signed September 16, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
January 27, 2021
$6,000
Stipulation & Order #NH-21-112 · Signed June 2, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
January 28, 2019
$2,000
Stipulation & Order #NH-19-018 · Signed April 10, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies