Citations Summary

Feb 2022 โ€“ Jan 2026
14 Inspections Conducted
2
No citations found
14% of all inspections
12
Resulted in citations
86% of all inspections
24 Total Citations โ€” state avg: 23
Issued across those 12 inspections
20Standard Health
4Life Safety Code
Severity of Citations
How serious were those 24 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
March 19, 2025 Certification/Complaint Survey 12 Health 8 LSC
โ–ผ
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 9, 2025
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 29, 2025
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 9, 2025
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated May 9, 2025
General Requirements
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope April 29, 2025
Nutrition/hydration Status Maintenance
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 7, 2025
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 9, 2025
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 7, 2025
Right To Survey Results/advocate Agency Info
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 29, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 29, 2025
Self-determination
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 29, 2025
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 9, 2025
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 22, 2025
Electrical Systems - Other
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 25, 2025
Emergency Lighting
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 25, 2025
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 16, 2025
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 2, 2025
Physical Environment
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 20, 2025
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 25, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 28, 2025
July 31, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
June 21, 2023 Certification/Complaint Survey 5 Health 8 LSC
โ–ผ
Standard Health Citations
Encoding/transmitting Resident Assessments
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 19, 2023
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 17, 2022
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 19, 2023
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 19, 2023
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 19, 2023
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 1, 2023
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 31, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 5, 2023
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 7, 2023
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 22, 2023
Portable Fire Extinguishers
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 1, 2023
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 17, 2023
Standards Of Construction For New Existing Nh
Life Safety Code Citation โ€” NFPA requirements
Level 0 ๐Ÿ‘ค Scope July 3, 2023
May 8, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
May 2, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
April 24, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
April 17, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
March 20, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
March 13, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
March 6, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
February 28, 2023 Complaint Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 22, 2023
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 22, 2023
February 10, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2023
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

Feb 2022 โ€“ Jan 2026
Above state average. This facility received 109.4 complaints per 100 beds vs. a statewide rate of 55.0. 7 citations resulted from those complaints (5.1 per 100 beds vs. 3.0 statewide).
Total Complaints
151
55,221 statewide
Per 100 Occupied Beds
109.4
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
7
5.1 per 100 beds ยท avg 3.0
Facility-Reported Incidents
52%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment3
Quality of Care6
Resident Rights4
Total13

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
2 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 19, 2025
$10,000
Stipulation & Order #NH-25-058 ยท Signed September 25, 2025
Reason: Quality of Care
April 30, 2021
$10,000
Stipulation & Order #NH-21-189 ยท Signed October 21, 2021
Reason: Quality of Care