Citations Summary

Feb 2022 โ€“ Jan 2026
13 Inspections Conducted
8
No citations found
62% of all inspections
5
Resulted in citations
38% of all inspections
20 Total Citations โ€” state avg: 23
Issued across those 5 inspections
17Standard Health
3Life Safety Code
Severity of Citations
How serious were those 20 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
September 12, 2025 Certification Survey 5 Health 7 LSC
โ–ผ
Standard Health Citations
Dispose Garbage And Refuse Properly
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 10, 2025
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated February 13, 2025
Pharmacy Services
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope November 10, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 10, 2025
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 10, 2025
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
Emergency Officials Contact Information
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Plan Based On All Hazards Risk Assessment
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
Utilities - Gas And Electric
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
March 26, 2024 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 22, 2022
May 23, 2023 Complaint Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Cardio-pulmonary Resuscitation (cpr)
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated May 15, 2023
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 15, 2023
September 13, 2022 Certification/Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Pasarr Screening For Md & Id
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 28, 2022
February 24, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Covid-19 Vaccination Of Facility Staff
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 18, 2022
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Feb 2022 โ€“ Jan 2026
Above state average. This facility received 1000.0 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (100.0 per 100 beds vs. 3.0 statewide).
Total Complaints
55
55,221 statewide
Per 100 Occupied Beds
1000.0
55.0 state avg
On-Site Inspections
14
8,103 statewide
Citations Issued
5
100.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
64%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services1
Other Services0
Physical Environment0
Quality of Care14
Resident Rights6
Total21

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
5 enforcement actions totaling $38,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 12, 2025
$2,000
Stipulation & Order #NH-26-006 ยท Signed December 23, 2025
Reason: Quality of Care
May 23, 2023
$10,000
Stipulation & Order #NH-24-015 ยท Signed January 19, 2024
Reason: Resident Rights
February 10, 2021
$4,000
Stipulation & Order #NH-21-148 ยท Signed August 13, 2021
Reason: Quality of Care
September 11, 2015
$4,000
Stipulation & Order #NH-16-134 ยท Signed April 6, 2016
Reason: Multiple Deficiencies
Date not yet available
$18,000
Stipulation & Order #NH-17-003 ยท Signed January 3, 2017
Reason: Multiple Deficiencies