Citations Summary
Jun 2022 – May 20268 Inspections Conducted
3
No citations found
38% of all inspections
5
Resulted in citations
62% of all inspections
23 Total Citations — state avg: 41
Issued across those 5 inspections
15Standard Health
8Life Safety Code
Severity of Citations
How serious were those 23 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 8 inspections in the current reporting window, 3 found no citations at all; inspectors issued 23 citations in total.
- Of those, 15 were standard health citations (quality of care) and 8 were related to the Life Safety Code (fire protection).
- The state logged 80 complaints about this facility; 9 led to on-site inspections.
- The state has 1 formal enforcement action (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
7001384N
County
Kings
Phone
(718) 669-7100
Operated By
Willoughby Rehabilitation & Health Care Center LLC (For Profit)
DOH Regional Office
New York Metro
Occupancy Rate
97%
Staff Flu Vaccination
80%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
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
Jun 2022 – May 2026Below state average. This facility received 44.6 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (2.2 per 100 beds vs. 5.3 statewide).
Total Complaints
80
55,669 statewide
Per 100 Occupied Beds
44.6
57.4 state avg
On-Site Inspections
9
7,566 statewide
Citations Issued
4
2.2 per 100 beds · avg 5.3
Facility-Reported Incidents
44%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 4 |
| Resident Rights | 1 |
| Total | 11 |
Enforcement & Fines
Jun 2016 – May 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