Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
3
No citations found
43% of all inspections
4
Resulted in citations
57% of all inspections
17 Total Citations — state avg: 23
Issued across those 4 inspections
13Standard Health
4Life Safety Code
Severity of Citations
How serious were those 17 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Permitting Residents To Return To Facility
Standard Health Citation — quality of care
▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Right To Participate In Planning Care
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Hvac
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
Covid-19 Vaccination Of Facility Staff
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Quality Of Life
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Unnec Psychotropic Meds/prn Use
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 41.5 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.6 per 100 beds vs. 3.0 statewide).
Total Complaints
76
55,221 statewide
Per 100 Occupied Beds
41.5
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
1
0.6 per 100 beds · avg 3.0
Facility-Reported Incidents
39%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 15 |
| Resident Rights | 8 |
| Total | 27 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $9,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 26, 2023
$9,000
Stipulation & Order #NH-23-033 · Signed March 29, 2023
Reason: Infection Control
Reason: Infection Control