Citations Summary

Jun 2022 โ€“ May 2026
19 Total Citations โ€” state avg: 41
Issued in the reporting period
10Standard Health
9Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period
In plain language
  • Across 3 inspections in the current reporting window, 1 found no citations at all; inspectors issued 19 citations in total.
  • Of those, 10 were standard health citations (quality of care) and 9 were related to the Life Safety Code (fire protection).
  • The state logged 76 complaints about this facility; 9 led to on-site inspections.
  • The state has 1 formal enforcement action (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
6120000N
County
Yates
Phone
(315) 531-2700
Operated By
Soldiers and Sailors Memorial Hospital of Yates County, Inc. (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
95%
Staff Flu Vaccination
97%

Inspection Details

Surveys with Citations Only
November 4, 2024 CERTIFICATION/COMPLAINT Survey 6 Health 6 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Bedrails
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 30, 2024
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Resident Bed
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 12, 2024
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 18, 2024
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 18, 2024
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 18, 2024
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 18, 2024
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 18, 2024
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 18, 2024
September 30, 2022 CERTIFICATION/COMPLAINT Survey 4 Health 3 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 21, 2022
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 21, 2022
Posted Nurse Staffing Information
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 21, 2022
Required Postings
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 21, 2022
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 1, 2022
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 1, 2022
Elevators
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 21, 2022
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Jun 2022 โ€“ May 2026
Above state average. This facility received 67.8 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (3.6 per 100 beds vs. 5.3 statewide).
Total Complaints
76
55,669 statewide
Per 100 Occupied Beds
67.8
57.4 state avg
On-Site Inspections
9
7,566 statewide
Citations Issued
4
3.6 per 100 beds ยท avg 5.3
Facility-Reported Incidents
88%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services2
Physical Environment1
Quality of Care2
Resident Rights2
Total7

Enforcement & Fines

Jun 2016 โ€“ May 2026
1 enforcement action totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 4, 2024
$6,000
Stipulation & Order #NH-25-043 ยท Signed August 5, 2025
Reason: Physical Environment