Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
5
No citations found
62% of all inspections
3
Resulted in citations
38% of all inspections
16 Total Citations — state avg: 23
Issued across those 3 inspections
12Standard Health
4Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Changes In Existing Medical Facilities
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
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
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Discharge From Exits
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
Elevators
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop Ep Plan, Review And Update Annually
Standard Health Citation — quality of care
Ep Program Patient Population
Standard Health Citation — quality of care
Local, State, Tribal Collaboration Process
Standard Health Citation — quality of care
Plan Based On All Hazards Risk Assessment
Standard Health Citation — quality of care
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
▼
Standard Health Citations
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
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
Feb 2022 – Jan 2026Above state average. This facility received 72.6 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (2.7 per 100 beds vs. 3.0 statewide).
Total Complaints
53
55,221 statewide
Per 100 Occupied Beds
72.6
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
2
2.7 per 100 beds · avg 3.0
Facility-Reported Incidents
74%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 11 |
| Resident Rights | 1 |
| Total | 16 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 29, 2021
$4,000
Stipulation & Order #NH-21-165 · Signed September 23, 2021
Reason: Quality of Care
Reason: Quality of Care