Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
4
No citations found
40% of all inspections
6
Resulted in citations
60% of all inspections
24 Total Citations — state avg: 23
Issued across those 6 inspections
19Standard Health
5Life Safety Code
Severity of Citations
How serious were those 24 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
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
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Feb 2022 – Jan 2026Below state average. This facility received 29.0 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (3.1 per 100 beds vs. 3.0 statewide).
Total Complaints
56
55,221 statewide
Per 100 Occupied Beds
29.0
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
6
3.1 per 100 beds · avg 3.0
Facility-Reported Incidents
64%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 7 |
| Resident Rights | 2 |
| Total | 11 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 17, 2023
$4,000
Stipulation & Order #NH-23-082 · Signed September 18, 2023
Reason: Infection Control
Reason: Infection Control