Citations Summary

Feb 2022 โ€“ Jan 2026
19 Inspections Conducted
17
No citations found
89% of all inspections
2
Resulted in citations
11% of all inspections
27 Total Citations โ€” state avg: 23
Issued across those 2 inspections
23Standard Health
4Life Safety Code
Severity of Citations
How serious were those 27 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
May 16, 2025 Certification Survey 3 Health 6 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 10, 2025
Bedrails
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 10, 2025
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 10, 2025
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
Portable Space Heaters
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 10, 2025
April 24, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 26, 2023
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 89.4 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.0 per 100 beds vs. 3.0 statewide).
Total Complaints
135
55,221 statewide
Per 100 Occupied Beds
89.4
55.0 state avg
On-Site Inspections
20
8,103 statewide
Citations Issued
3
2.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
70%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services3
Other Services0
Physical Environment1
Quality of Care13
Resident Rights5
Total22

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
3 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 25, 2023
$2,000
Stipulation & Order #NH-24-025 ยท Signed April 1, 2024
Reason: Quality of Care
December 4, 2020
$6,000
Stipulation & Order #NH-21-152 ยท Signed August 23, 2021
Reason: Quality of Care
June 26, 2019
$10,000
Stipulation & Order #NH-19-044 ยท Signed October 15, 2019
Reason: Multiple Deficiencies