Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
4
No citations found
57% of all inspections
3
Resulted in citations
43% of all inspections
16 Total Citations — state avg: 23
Issued across those 3 inspections
12Standard Health
4Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Infection Prevention & Control
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
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
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Responsibilities Of Providers; Required Notif
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 43.3 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (1.9 per 100 beds vs. 3.0 statewide).
Total Complaints
113
55,221 statewide
Per 100 Occupied Beds
43.3
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
5
1.9 per 100 beds · avg 3.0
Facility-Reported Incidents
41%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 11 |
| Resident Rights | 7 |
| Total | 25 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $34,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 9, 2024
$12,000
Stipulation & Order #NH-24-066 · Signed October 29, 2024
Reason: Quality of Care
Reason: Quality of Care
June 29, 2020
$12,000
Stipulation & Order #NH-20-080 · Signed December 8, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
November 14, 2016
$10,000
Stipulation & Order #NH-17-043 · Signed July 25, 2017
Reason: Physical Environment
Reason: Physical Environment