Citations Summary
Feb 2022 – Jan 202612 Total Citations — state avg: 23
Issued in the reporting period
10Standard Health
2Life Safety Code
Severity of Citations
How serious were those 12 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
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 2026Above state average. This facility received 61.1 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.7 per 100 beds vs. 3.0 statewide).
Total Complaints
110
55,221 statewide
Per 100 Occupied Beds
61.1
55.0 state avg
On-Site Inspections
7
8,103 statewide
Citations Issued
3
1.7 per 100 beds · avg 3.0
Facility-Reported Incidents
82%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 1 |
| Resident Rights | 0 |
| Total | 4 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 12, 2020
$6,000
Stipulation & Order #NH-20-082 · Signed December 8, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies