Citations Summary
Feb 2022 โ Jan 202613 Total Citations โ state avg: 23
Issued in the reporting period
11Standard Health
2Life Safety Code
Severity of Citations
How serious were those 13 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
Free from involuntary seclusion ยท July 23, 2025 ยท Not yet corrected
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Free From Involuntary Seclusion
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ quality of care
Qapi/qaa Improvement Activities
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Physician Visits - Review Care/notes/order
Standard Health Citation โ quality of care
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation โ quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation โ quality of care
Services Provided Meet Professional Standards
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Grievances
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Hvac
Life Safety Code Citation โ NFPA requirements
Smoke Detection
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation โ NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
Severity Scale Reference
Level 0 โ No Harm Potential
Level 2 โ Minor Potential Harm
Level 3 โ Actual Harm
Level 4 โ Immediate Jeopardy
Complaints
Feb 2022 โ Jan 2026Below state average. This facility received 33.6 complaints per 100 beds vs. a statewide rate of 55.0. 15 citations resulted from those complaints (11.7 per 100 beds vs. 3.0 statewide).
Total Complaints
43
55,221 statewide
Per 100 Occupied Beds
33.6
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
15
11.7 per 100 beds ยท avg 3.0
Facility-Reported Incidents
44%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 7 |
| Resident Rights | 1 |
| Total | 9 |
Enforcement & Fines
Feb 2016 โ Jan 20263 enforcement actions totaling $16,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 21, 2025
$2,000
Stipulation & Order #NH-26-008 ยท Signed January 15, 2026
Reason: Resident Rights
Reason: Resident Rights
January 26, 2023
$2,000
Stipulation & Order #NH-23-042 ยท Signed April 14, 2023
Reason: Infection Control
Reason: Infection Control
March 19, 2013
$12,000
Stipulation & Order #NH-16-175 ยท Signed June 28, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies