Citations Summary
Feb 2022 – Jan 20266 Inspections Conducted
3
No citations found
50% of all inspections
3
Resulted in citations
50% of all inspections
16 Total Citations — state avg: 23
Issued across those 3 inspections
12Standard Health
4Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Protection/management Of Personal Funds
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Electrical Systems - Receptacles
Life Safety Code Citation — NFPA requirements
Gas Equipment - Labeling Equipment And Cylind
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Life Safety Code Citations
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
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 52.8 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (2.8 per 100 beds vs. 3.0 statewide).
Total Complaints
95
55,221 statewide
Per 100 Occupied Beds
52.8
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
5
2.8 per 100 beds · avg 3.0
Facility-Reported Incidents
54%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 14 |
| Resident Rights | 4 |
| Total | 23 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 14, 2012
$14,000
Stipulation & Order #NH-16-149 · Signed March 15, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies