Citations Summary
Jun 2022 – May 202654 Total Citations — state avg: 41
Issued in the reporting period
22Standard Health
32Life Safety Code
Severity of Citations
How serious were those 54 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 4 inspections in the current reporting window, 1 found no citations at all; inspectors issued 54 citations in total.
- Of those, 22 were standard health citations (quality of care) and 32 were related to the Life Safety Code (fire protection).
- The state logged 83 complaints about this facility; 12 led to on-site inspections.
- The state has 3 formal enforcement actions (fines or stipulations) on record.
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
5401312N
County
Tompkins
Phone
(607) 273-4166
Operated By
BTRNC, LLC (For Profit)
DOH Regional Office
Central New York
Occupancy Rate
92%
Staff Flu Vaccination
96%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Control
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
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Egress 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
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Sprinkler System - Out Of Service
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Routine/emergency Dental Srvcs In Snfs
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
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
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Smoking Policies
Standard Health Citation — quality of care
Treatment/srvcs Mental/psychoscial Concerns
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
Jun 2022 – May 2026Above state average. This facility received 73.0 complaints per 100 beds vs. a statewide rate of 57.4. 14 citations resulted from those complaints (12.3 per 100 beds vs. 5.3 statewide).
Total Complaints
83
55,669 statewide
Per 100 Occupied Beds
73.0
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
14
12.3 per 100 beds · avg 5.3
Facility-Reported Incidents
57%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 2 |
| Physical Environment | 3 |
| Quality of Care | 3 |
| Resident Rights | 2 |
| Total | 12 |
Enforcement & Fines
Jun 2016 – May 20263 enforcement actions totaling $30,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 7, 2022
$10,000
Stipulation & Order #NH-23-002 · Signed January 9, 2023
Reason: Quality of Care
Reason: Quality of Care
December 30, 2020
$10,000
Stipulation & Order #NH-21-144 · Signed April 5, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 21, 2012
$10,000
Stipulation & Order #NH-16-173 · Signed June 14, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies