Citations Summary

Feb 2022 โ€“ Jan 2026
14 Total Citations โ€” state avg: 23
Issued in the reporting period
9Standard Health
5Life Safety Code
Severity of Citations
How serious were those 14 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
December 16, 2024 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated February 11, 2025
November 7, 2024 Certification/Complaint Survey 5 Health 2 LSC
โ–ผ
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Department Criminal History Review
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope December 30, 2024
Pain Management
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Surety Bond-security Of Personal Funds
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 30, 2024
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 2, 2025
Vertical Openings - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 2, 2025
September 26, 2022 Certification/Complaint Survey 5 Health 4 LSC
โ–ผ
Standard Health Citations
Baseline Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 18, 2022
Bedrails
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 18, 2022
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 18, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 18, 2022
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 18, 2022
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread November 28, 2022
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 15, 2022
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 15, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 18, 2022
August 9, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 16, 2022
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
Below state average. This facility received 25.1 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.3 per 100 beds vs. 3.0 statewide).
Total Complaints
60
55,221 statewide
Per 100 Occupied Beds
25.1
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
3
1.3 per 100 beds ยท avg 3.0
Facility-Reported Incidents
73%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment1
Quality of Care1
Resident Rights0
Total2

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
2 enforcement actions totaling $28,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 16, 2024
$12,000
Stipulation & Order #NH-25-030 ยท Signed July 18, 2025
Reason: Multiple Deficiencies
May 19, 2021
$16,000
Stipulation & Order #NH-21-218 ยท Signed November 17, 2021
Reason: Other Services