Citations Summary
Feb 2022 – Jan 202618 Total Citations — state avg: 23
Issued in the reporting period
15Standard Health
3Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
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
Gas Equipment - Testing And Maintenance Requi
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
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
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
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 36.3 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (0.8 per 100 beds vs. 3.0 statewide).
Total Complaints
144
55,221 statewide
Per 100 Occupied Beds
36.3
55.0 state avg
On-Site Inspections
12
8,103 statewide
Citations Issued
3
0.8 per 100 beds · avg 3.0
Facility-Reported Incidents
31%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 19 |
| Resident Rights | 10 |
| Total | 34 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 20, 2022
$10,000
Stipulation & Order #NH-22-170 · Signed December 19, 2022
Reason: Quality of Care
Reason: Quality of Care
January 25, 2022
$2,000
Stipulation & Order #NH-22-069 · Signed May 5, 2022
Reason: Quality of Care
Reason: Quality of Care
April 6, 2021
$2,000
Stipulation & Order #NH-21-161 · Signed September 23, 2021
Reason: Quality of Care
Reason: Quality of Care