Citations Summary

Feb 2022 โ€“ Jan 2026
8 Total Citations โ€” state avg: 23
Issued in the reporting period
4Standard Health
4Life Safety Code
Severity of Citations
How serious were those 8 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
April 24, 2024 Certification/Complaint Survey 11 Health 4 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Required Postings
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 21, 2024
Resident Records - Identifiable Information
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 21, 2024
Right To Participate In Planning Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 21, 2024
Right To Survey Results/advocate Agency Info
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 21, 2024
Treatment/devices To Maintain Hearing/vision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 21, 2024
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2024
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 3, 2024
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 3, 2024
April 11, 2022 Certification/Complaint Survey 3 Health 4 LSC
โ–ผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 6, 2022
Medicaid/medicare Coverage/liability Notice
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 6, 2022
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 6, 2022
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 8, 2022
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 8, 2022
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 8, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 8, 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 19.1 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.5 per 100 beds vs. 3.0 statewide).
Total Complaints
37
55,221 statewide
Per 100 Occupied Beds
19.1
55.0 state avg
On-Site Inspections
2
8,103 statewide
Citations Issued
1
0.5 per 100 beds ยท avg 3.0
Facility-Reported Incidents
8%
55% statewide
Citations by CategoryThis Facility
Administration1
Dietary Services2
Other Services0
Physical Environment0
Quality of Care9
Resident Rights7
Total19

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 16, 2021
$2,000
Stipulation & Order #NH-22-049 ยท Signed March 22, 2022
Reason: Quality of Care