Citations Summary
Jun 2022 – May 202617 Total Citations — state avg: 41
Issued in the reporting period
7Standard Health
10Life Safety Code
Severity of Citations
How serious were those 17 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 3 inspections in the current reporting window; inspectors issued 17 citations in total.
- Of those, 7 were standard health citations (quality of care) and 10 were related to the Life Safety Code (fire protection).
- The state logged 29 complaints about this facility; 5 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
5910301N
County
Westchester
Phone
(914) 472-3200
Operated By
Sprain Brook Manor Rehab, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
91%
Staff Flu Vaccination
89%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
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 26.2 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (1.8 per 100 beds vs. 5.3 statewide).
Total Complaints
29
55,669 statewide
Per 100 Occupied Beds
26.2
57.4 state avg
On-Site Inspections
5
7,566 statewide
Citations Issued
2
1.8 per 100 beds · avg 5.3
Facility-Reported Incidents
28%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 2 |
| Resident Rights | 1 |
| Total | 5 |