Citations Summary
Jun 2022 – May 202615 Inspections Conducted
7
No citations found
47% of all inspections
8
Resulted in citations
53% of all inspections
19 Total Citations — state avg: 41
Issued across those 8 inspections
12Standard Health
7Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 15 inspections in the current reporting window, 7 found no citations at all; inspectors issued 19 citations in total.
- Of those, 12 were standard health citations (quality of care) and 7 were related to the Life Safety Code (fire protection).
- The state logged 70 complaints about this facility; 11 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
6027000N
County
Wyoming
Phone
(585) 786-2233
Operated By
County of Wyoming (Public)
DOH Regional Office
Western NY
Occupancy Rate
98%
Staff Flu Vaccination
86%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Bedrails
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
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
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 52.3 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (1.5 per 100 beds vs. 5.3 statewide).
Total Complaints
70
55,669 statewide
Per 100 Occupied Beds
52.3
57.4 state avg
On-Site Inspections
11
7,566 statewide
Citations Issued
2
1.5 per 100 beds · avg 5.3
Facility-Reported Incidents
96%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 1 |
| Resident Rights | 2 |
| Total | 4 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 29, 2021
$2,000
Stipulation & Order #NH-21-100 · Signed May 17, 2021
Reason: Quality of Care
Reason: Quality of Care
July 12, 2016
$4,000
Stipulation & Order #NH-16-202 · Signed October 24, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies