Citations Summary
Jun 2022 – May 20267 Inspections Conducted
2
No citations found
29% of all inspections
5
Resulted in citations
71% of all inspections
42 Total Citations — state avg: 41
Issued across those 5 inspections
26Standard Health
16Life Safety Code
Severity of Citations
How serious were those 42 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 7 inspections in the current reporting window, 2 found no citations at all; inspectors issued 42 citations in total.
- Of those, 26 were standard health citations (quality of care) and 16 were related to the Life Safety Code (fire protection).
- The state logged 50 complaints about this facility; 9 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
5220303N
County
Sullivan
Phone
(845) 292-4200
Operated By
WMOP, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
96%
Staff Flu Vaccination
84%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Facility Assessment
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Abuse, Neglect, And Exploitation Training
Standard Health Citation — quality of care
Accuracy Of Assessments
Standard Health Citation — quality of care
Department Criminal History Review
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
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Protection/management Of Personal Funds
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Local, State, Tribal Collaboration Process
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Smoke Detection
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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
Jun 2022 – May 2026Below state average. This facility received 38.6 complaints per 100 beds vs. a statewide rate of 57.4. 17 citations resulted from those complaints (13.1 per 100 beds vs. 5.3 statewide).
Total Complaints
50
55,669 statewide
Per 100 Occupied Beds
38.6
57.4 state avg
On-Site Inspections
9
7,566 statewide
Citations Issued
17
13.1 per 100 beds · avg 5.3
Facility-Reported Incidents
42%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 4 |
| Resident Rights | 1 |
| Total | 11 |