Citations Summary
Feb 2022 – Jan 202613 Total Citations — state avg: 23
Issued in the reporting period
9Standard Health
4Life Safety Code
Severity of Citations
How serious were those 13 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Multiple Occupancies
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Surety Bond-security Of Personal Funds
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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 2026Below state average. This facility received 15.2 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (0.8 per 100 beds vs. 3.0 statewide).
Total Complaints
36
55,221 statewide
Per 100 Occupied Beds
15.2
55.0 state avg
On-Site Inspections
6
8,103 statewide
Citations Issued
2
0.8 per 100 beds · avg 3.0
Facility-Reported Incidents
8%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 6 |
| Resident Rights | 1 |
| Total | 7 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $22,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 20, 2021
$2,000
Stipulation & Order #NH-22-007 · Signed December 20, 2021
Reason: Quality of Care
Reason: Quality of Care
July 14, 2020
$20,000
Stipulation & Order #NH-22-035 · Signed March 3, 2022
Reason: Quality of Care
Reason: Quality of Care