Citations Summary
Jun 2022 – May 202689 Total Citations — state avg: 41
Issued in the reporting period
62Standard Health
27Life Safety Code
Severity of Citations
How serious were those 89 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
Free from involuntary seclusion · July 23, 2025 · Not yet corrected
In plain language
- Across 5 inspections in the current reporting window; inspectors issued 89 citations in total.
- Of those, 62 were standard health citations (quality of care) and 27 were related to the Life Safety Code (fire protection).
- The state logged 35 complaints about this facility; 6 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
5556302N
County
Ulster
Phone
(845) 691-7201
Operated By
Hudson Valley Care Partners, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
62%
Staff Flu Vaccination
82%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Discharge Process
Standard Health Citation — quality of care
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
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Provide/obtain Specialized Rehab Services
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Dietary Support Personnel
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Discharge From Exits
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
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
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
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Involuntary Seclusion
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
▼
Standard Health Citations
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Qapi Prgm/plan, Disclosure/good Faith Attmpt
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
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
Grievances
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Smoke Detection
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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 2026Above state average. This facility received 137.9 complaints per 100 beds vs. a statewide rate of 57.4. 18 citations resulted from those complaints (70.9 per 100 beds vs. 5.3 statewide).
Total Complaints
35
55,669 statewide
Per 100 Occupied Beds
137.9
57.4 state avg
On-Site Inspections
6
7,566 statewide
Citations Issued
18
70.9 per 100 beds · avg 5.3
Facility-Reported Incidents
49%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 2 |
| Physical Environment | 3 |
| Quality of Care | 4 |
| Resident Rights | 4 |
| Total | 16 |
Enforcement & Fines
Jun 2016 – May 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 · Signed January 15, 2026
Reason: Resident Rights
Reason: Resident Rights
January 26, 2023
$2,000
Stipulation & Order #NH-23-042 · Signed April 14, 2023
Reason: Infection Control
Reason: Infection Control
March 19, 2013
$12,000
Stipulation & Order #NH-16-175 · Signed June 28, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies