Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
4
No citations found
44% of all inspections
5
Resulted in citations
56% of all inspections
19 Total Citations — state avg: 23
Issued across those 5 inspections
15Standard Health
4Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Life Safety Code Citations
Subdivision Of Building Spaces - Smoke Barrie
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
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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 56.3 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.8 per 100 beds vs. 3.0 statewide).
Total Complaints
125
55,221 statewide
Per 100 Occupied Beds
56.3
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
4
1.8 per 100 beds · avg 3.0
Facility-Reported Incidents
63%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 13 |
| Resident Rights | 5 |
| Total | 23 |
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.
March 7, 2023
$10,000
Stipulation & Order #NH-24-021 · Signed March 6, 2024
Reason: Quality of Care
Reason: Quality of Care
August 31, 2022
$10,000
Stipulation & Order #NH-23-068 · Signed July 13, 2023
Reason: Quality of Care
Reason: Quality of Care