Citations Summary
Feb 2022 – Jan 202611 Inspections Conducted
5
No citations found
45% of all inspections
6
Resulted in citations
55% of all inspections
19 Total Citations — state avg: 23
Issued across those 6 inspections
16Standard Health
3Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Care Plan Timing And Revision
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
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Grievances
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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
Feb 2022 – Jan 2026Above state average. This facility received 104.1 complaints per 100 beds vs. a statewide rate of 55.0. 9 citations resulted from those complaints (12.3 per 100 beds vs. 3.0 statewide).
Total Complaints
76
55,221 statewide
Per 100 Occupied Beds
104.1
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
9
12.3 per 100 beds · avg 3.0
Facility-Reported Incidents
29%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 27 |
| Resident Rights | 11 |
| Total | 47 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $32,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 31, 2024
$10,000
Stipulation & Order #NH-24-061 · Signed October 21, 2024
Reason: Quality of Care
Reason: Quality of Care
March 14, 2023
$2,000
Stipulation & Order #NH-23-070 · Signed July 17, 2023
Reason: Quality of Care
Reason: Quality of Care
September 26, 2022
$10,000
Stipulation & Order #NH-23-011 · Signed February 6, 2023
Reason: Quality of Care
Reason: Quality of Care
December 11, 2017
$10,000
Stipulation & Order #NH-18-007 · Signed February 21, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies