Citations Summary

Jun 2022 โ€“ May 2026
37 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 โœ“
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 Only
July 28, 2025 CERTIFICATION/COMPLAINT Survey 5 Health 0 LSC
โ–ผ
Standard Health Citations
Essential Equipment, Safe Operating Condition
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 26, 2025
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 26, 2025
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 26, 2025
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 26, 2025
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope September 26, 2025
January 16, 2024 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 15, 2024
January 2, 2024 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
June 20, 2023 CERTIFICATION/COMPLAINT Survey 4 Health 12 LSC
โ–ผ
Standard Health Citations
Baseline Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 17, 2023
Notice Of Bed Hold Policy Before/upon Trnsfr
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 17, 2023
Required In-service Training For Nurse Aides
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 17, 2023
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 17, 2023
Life Safety Code Citations
Alcohol Based Hand Rub Dispenser (abhr)
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 6, 2023
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 10, 2023
Egress Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 25, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 19, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 19, 2023
Emergency Lighting
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread July 16, 2023
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 30, 2023
Hvac
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 10, 2023
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 26, 2023
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 11, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 11, 2023
October 3, 2022 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Discharge Planning Process
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 1, 2022
September 19, 2022 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
July 8, 2022 COMPLAINT Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 31, 2022
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 31, 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

Jun 2022 โ€“ May 2026
Below 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 CategoryThis Facility
Administration1
Dietary Services1
Other Services2
Physical Environment1
Quality of Care3
Resident Rights2
Total10

Enforcement & Fines

Jun 2016 โ€“ May 2026