Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
3
No citations found
30% of all inspections
7
Resulted in citations
70% of all inspections
25 Total Citations — state avg: 23
Issued across those 7 inspections
21Standard Health
4Life Safety Code
Severity of Citations
How serious were those 25 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Discharge Process
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
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
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
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
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation — NFPA requirements
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
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
Stairways And Smokeproof Enclosures
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
Care Plan Timing And Revision
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Right To Be Informed/make Treatment Decisions
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
▼
Standard Health Citations
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
▼
Standard Health Citations
Bedrails
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
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
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
Feb 2022 – Jan 2026Below state average. This facility received 30.2 complaints per 100 beds vs. a statewide rate of 55.0. 11 citations resulted from those complaints (3.8 per 100 beds vs. 3.0 statewide).
Total Complaints
87
55,221 statewide
Per 100 Occupied Beds
30.2
55.0 state avg
On-Site Inspections
16
8,103 statewide
Citations Issued
11
3.8 per 100 beds · avg 3.0
Facility-Reported Incidents
36%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 3 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 5 |
| Quality of Care | 24 |
| Resident Rights | 9 |
| Total | 45 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 10, 2025
$10,000
Stipulation & Order #NH-26-010 · Signed January 27, 2026
Reason: Quality of Care
Reason: Quality of Care
August 7, 2024
$2,000
Stipulation & Order #NH-24-072 · Signed November 5, 2024
Reason: Quality of Care
Reason: Quality of Care