Citations Summary
Feb 2022 – Jan 202615 Total Citations — state avg: 23
Issued in the reporting period
11Standard Health
4Life Safety Code
Severity of Citations
How serious were those 15 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
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Entering Into Binding Arbitration Agreements
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Procedures For Tracking Of Staff And Patients
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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 2026Below state average. This facility received 24.1 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (0.9 per 100 beds vs. 3.0 statewide).
Total Complaints
53
55,221 statewide
Per 100 Occupied Beds
24.1
55.0 state avg
On-Site Inspections
4
8,103 statewide
Citations Issued
2
0.9 per 100 beds · avg 3.0
Facility-Reported Incidents
38%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 10 |
| Resident Rights | 5 |
| Total | 22 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 12, 2024
$10,000
Stipulation & Order #NH-24-081 · Signed December 9, 2024
Reason: Quality of Care
Reason: Quality of Care
April 23, 2021
$10,000
Stipulation & Order #NH-21-197 · Signed October 27, 2021
Reason: Other Services
Reason: Other Services