Citations Summary
Feb 2022 – Jan 20266 Inspections Conducted
2
No citations found
33% of all inspections
4
Resulted in citations
67% of all inspections
14 Total Citations — state avg: 23
Issued across those 4 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
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Infection Prevention & 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
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Receptacles
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Ep Training And Testing
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Physical Environment
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
Care Plan Timing And Revision
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Resident Records - Identifiable Information
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
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
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
Vertical Openings - Enclosure
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 30.9 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (2.2 per 100 beds vs. 3.0 statewide).
Total Complaints
43
55,221 statewide
Per 100 Occupied Beds
30.9
55.0 state avg
On-Site Inspections
7
8,103 statewide
Citations Issued
3
2.2 per 100 beds · avg 3.0
Facility-Reported Incidents
44%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 13 |
| Resident Rights | 4 |
| Total | 18 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
February 8, 2012
$14,000
Stipulation & Order #NH-16-117 · Signed March 9, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies