Citations Summary
Jun 2022 – May 202617 Inspections Conducted
13
No citations found
76% of all inspections
4
Resulted in citations
24% of all inspections
16 Total Citations — state avg: 41
Issued across those 4 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
In plain language
- Across 17 inspections in the current reporting window, 13 found no citations at all; inspectors issued 16 citations in total.
- Of those, 12 were standard health citations (quality of care) and 4 were related to the Life Safety Code (fire protection).
- The state logged 139 complaints about this facility; 25 led to on-site inspections.
- The state has 2 formal enforcement actions (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
5823302N
County
Wayne
Phone
(315) 946-5673
Operated By
Wayne County Board of Supervisors (Public)
DOH Regional Office
Western NY
Occupancy Rate
75%
Staff Flu Vaccination
94%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Department Criminal History Review
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
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
Quality Of Care
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Elevators
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
Jun 2022 – May 2026Above state average. This facility received 100.6 complaints per 100 beds vs. a statewide rate of 57.4. 6 citations resulted from those complaints (4.3 per 100 beds vs. 5.3 statewide).
Total Complaints
139
55,669 statewide
Per 100 Occupied Beds
100.6
57.4 state avg
On-Site Inspections
25
7,566 statewide
Citations Issued
6
4.3 per 100 beds · avg 5.3
Facility-Reported Incidents
93%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 3 |
| Total | 10 |
Enforcement & Fines
Jun 2016 – May 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.
November 7, 2025
$10,000
Stipulation & Order #NH-26-041 · Signed April 14, 2026
Reason: Quality of Care
Reason: Quality of Care
November 5, 2020
$2,000
Stipulation & Order #NH-21-017 · Signed January 22, 2021
Reason: Quality of Care
Reason: Quality of Care