Citations Summary
Feb 2022 – Jan 202611 Inspections Conducted
6
No citations found
55% of all inspections
5
Resulted in citations
45% of all inspections
21 Total Citations — state avg: 23
Issued across those 5 inspections
16Standard Health
5Life Safety Code
Severity of Citations
How serious were those 21 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
Free from abuse and neglect · July 21, 2022 · Not yet corrected
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Pasarr Screening For Md & Id
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Physician Visits-frequency/timeliness/alt Npp
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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 76.5 complaints per 100 beds vs. a statewide rate of 55.0. 10 citations resulted from those complaints (8.7 per 100 beds vs. 3.0 statewide).
Total Complaints
88
55,221 statewide
Per 100 Occupied Beds
76.5
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
10
8.7 per 100 beds · avg 3.0
Facility-Reported Incidents
27%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 29 |
| Resident Rights | 11 |
| Total | 48 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 23, 2023
$10,000
Stipulation & Order #NH-23-039 · Signed April 4, 2023
Reason: Physical Environment
Reason: Physical Environment
July 21, 2022
$10,000
Stipulation & Order #NH-22-148 · Signed October 6, 2022
Reason: Quality of Care
Reason: Quality of Care
January 29, 2021
$2,000
Stipulation & Order #NH-21-095 · Signed May 11, 2021
Reason: Quality of Care
Reason: Quality of Care
November 18, 2019
$2,000
Stipulation & Order #NH-20-039 · Signed September 11, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies