Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
3
No citations found
75% of all inspections
1
Resulted in citations
25% of all inspections
9 Total Citations — state avg: 23
Issued across those 1 inspections
6Standard Health
3Life Safety Code
Severity of Citations
How serious were those 9 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Organization And Administration
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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 2026Below state average. This facility received 54.9 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
101
55,221 statewide
Per 100 Occupied Beds
54.9
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
0
0.0 per 100 beds · avg 3.0
Facility-Reported Incidents
91%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 4 |
| Resident Rights | 2 |
| Total | 7 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 4, 2021
$2,000
Stipulation & Order #NH-21-122 · Signed June 25, 2021
Reason: Quality of Care
Reason: Quality of Care
May 8, 2018
$10,000
Stipulation & Order #NH-18-038 · Signed September 17, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies