Citations Summary
Feb 2022 – Jan 202612 Inspections Conducted
6
No citations found
50% of all inspections
6
Resulted in citations
50% of all inspections
38 Total Citations — state avg: 23
Issued across those 6 inspections
31Standard Health
7Life Safety Code
Severity of Citations
How serious were those 38 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
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
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Respect, Dignity/right To Have Prsnl Property
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 60.5 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (1.5 per 100 beds vs. 3.0 statewide).
Total Complaints
243
55,221 statewide
Per 100 Occupied Beds
60.5
55.0 state avg
On-Site Inspections
25
8,103 statewide
Citations Issued
6
1.5 per 100 beds · avg 3.0
Facility-Reported Incidents
61%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 6 |
| Other Services | 0 |
| Physical Environment | 13 |
| Quality of Care | 29 |
| Resident Rights | 7 |
| Total | 55 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $30,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 9, 2025
$12,000
Stipulation & Order #NH-26-002 · Signed December 23, 2025
Reason: Physical Environment
Reason: Physical Environment
June 12, 2025
$10,000
Stipulation & Order #NH-25-083 · Signed November 6, 2025
Reason: Resident Rights
Reason: Resident Rights
May 15, 2020
$8,000
Stipulation & Order #NH-20-042 · Signed September 21, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies