Citations Summary
Jun 2022 โ May 202637 Total Citations โ state avg: 41
Issued in the reporting period
20Standard Health
17Life Safety Code
Severity of Citations
How serious were those 37 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 8 inspections in the current reporting window, 1 found no citations at all; inspectors issued 37 citations in total.
- Of those, 20 were standard health citations (quality of care) and 17 were related to the Life Safety Code (fire protection).
- The state logged 36 complaints about this facility; 9 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
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
5903309N
County
Westchester
Phone
(914) 699-0800
Operated By
The Wartburg Home of the Evangelical Lutheran Church (Not for Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
21%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Essential Equipment, Safe Operating Condition
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Label/store Drugs And Biologicals
Standard Health Citation โ quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Grievances
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Baseline Care Plan
Standard Health Citation โ quality of care
Notice Of Bed Hold Policy Before/upon Trnsfr
Standard Health Citation โ quality of care
Required In-service Training For Nurse Aides
Standard Health Citation โ quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ quality of care
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation โ NFPA requirements
Corridor - Doors
Life Safety Code Citation โ NFPA requirements
Egress Doors
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Hvac
Life Safety Code Citation โ NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Discharge Planning Process
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
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
Jun 2022 โ May 2026Below state average. This facility received 48.7 complaints per 100 beds vs. a statewide rate of 57.4. 5 citations resulted from those complaints (6.8 per 100 beds vs. 5.3 statewide).
Total Complaints
36
55,669 statewide
Per 100 Occupied Beds
48.7
57.4 state avg
On-Site Inspections
9
7,566 statewide
Citations Issued
5
6.8 per 100 beds ยท avg 5.3
Facility-Reported Incidents
50%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 2 |
| Total | 10 |