Citations Summary
Feb 2022 – Jan 202620 Total Citations — state avg: 23
Issued in the reporting period
16Standard Health
4Life Safety Code
Severity of Citations
How serious were those 20 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Dispose Garbage And Refuse Properly
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
Other Laws, Codes, Rules And Regulations.
Standard Health Citation — quality of care
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Life Safety Code Citations
Building Rehabilitation
Life Safety Code Citation — NFPA requirements
Cooking Facilities
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
Fire Alarm System - Testing And Maintenance
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
Maintenance, Inspection & Testing - Doors
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
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
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 2026Above state average. This facility received 81.5 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (9.3 per 100 beds vs. 3.0 statewide).
Total Complaints
44
55,221 statewide
Per 100 Occupied Beds
81.5
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
5
9.3 per 100 beds · avg 3.0
Facility-Reported Incidents
52%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 6 |
| Resident Rights | 2 |
| Total | 12 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 10, 2021
$18,000
Stipulation & Order #NH-22-067 · Signed April 28, 2022
Reason: Other Services
Reason: Other Services