Citations Summary
Feb 2022 – Jan 20265 Inspections Conducted
3
No citations found
60% of all inspections
2
Resulted in citations
40% of all inspections
14 Total Citations — state avg: 23
Issued across those 2 inspections
10Standard Health
4Life Safety Code
Severity of Citations
How serious were those 14 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Department Criminal History Review
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Out Of Service
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Comprehensive Assessment After Signifcant Chg
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
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
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
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
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 11.0 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (0.6 per 100 beds vs. 3.0 statewide).
Total Complaints
54
55,221 statewide
Per 100 Occupied Beds
11.0
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
3
0.6 per 100 beds · avg 3.0
Facility-Reported Incidents
15%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 18 |
| Resident Rights | 3 |
| Total | 25 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $50,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 21, 2022
$16,000
Stipulation & Order #NH-22-093 · Signed June 24, 2022
Reason: Quality of Care
Reason: Quality of Care
February 2, 2022
$2,000
Stipulation & Order #NH-22-065 · Signed May 16, 2022
Reason: Quality of Care
Reason: Quality of Care
December 16, 2020
$22,000
Stipulation & Order #NH-21-105 · Signed May 26, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
December 6, 2017
$10,000
Stipulation & Order #NH-18-006 · Signed February 13, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies