Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
2
No citations found
29% of all inspections
5
Resulted in citations
71% of all inspections
17 Total Citations — state avg: 23
Issued across those 5 inspections
13Standard Health
4Life Safety Code
Severity of Citations
How serious were those 17 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Receptacles
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Bedrails
Standard Health Citation — quality of care
Choose/be Notified Of Room/roommate Change
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Corridors - Areas Open To Corridor
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
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
Portable Fire Extinguishers
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
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 2026Above state average. This facility received 77.1 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (3.2 per 100 beds vs. 3.0 statewide).
Total Complaints
121
55,221 statewide
Per 100 Occupied Beds
77.1
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
5
3.2 per 100 beds · avg 3.0
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 19 |
| Resident Rights | 10 |
| Total | 35 |
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.
July 12, 2022
$4,000
Stipulation & Order #NH-22-147 · Signed October 4, 2022
Reason: Quality of Care
Reason: Quality of Care