Citations Summary
Jun 2022 – May 20266 Inspections Conducted
2
No citations found
33% of all inspections
4
Resulted in citations
67% of all inspections
43 Total Citations — state avg: 41
Issued across those 4 inspections
24Standard Health
19Life Safety Code
Severity of Citations
How serious were those 43 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 6 inspections in the current reporting window, 2 found no citations at all; inspectors issued 43 citations in total.
- Of those, 24 were standard health citations (quality of care) and 19 were related to the Life Safety Code (fire protection).
- The state logged 56 complaints about this facility; 10 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
5904318N
County
Westchester
Phone
(914) 636-2800
Operated By
Ralex Services, Inc (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
97%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Qapi/qaa Improvement Activities
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Influenza And Pneumococcal Immunizations
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
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 2026Below state average. This facility received 32.1 complaints per 100 beds vs. a statewide rate of 57.4. 10 citations resulted from those complaints (5.7 per 100 beds vs. 5.3 statewide).
Total Complaints
56
55,669 statewide
Per 100 Occupied Beds
32.1
57.4 state avg
On-Site Inspections
10
7,566 statewide
Citations Issued
10
5.7 per 100 beds · avg 5.3
Facility-Reported Incidents
39%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 4 |
| Total | 10 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $32,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 27, 2024
$30,000
Stipulation & Order #NH-25-025 · Signed July 10, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
December 10, 2020
$2,000
Stipulation & Order #NH-21-027 · Signed January 28, 2020
Reason: Other Services
Reason: Other Services