Citations Summary
Feb 2022 – Jan 202614 Inspections Conducted
8
No citations found
57% of all inspections
6
Resulted in citations
43% of all inspections
32 Total Citations — state avg: 23
Issued across those 6 inspections
26Standard Health
6Life Safety Code
Severity of Citations
How serious were those 32 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 From Abuse And Neglect
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
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
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Maintenance And Testing
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
▼
Standard Health Citations
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Behavioral Health Services
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Pasarr Screening For Md & Id
Standard Health Citation — quality of care
Reasonable Accommodations Needs/preferences
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Life Safety Code Citations
Building Rehabilitation
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Choose/be Notified Of Room/roommate Change
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 2026Above state average. This facility received 127.0 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (1.2 per 100 beds vs. 3.0 statewide).
Total Complaints
517
55,221 statewide
Per 100 Occupied Beds
127.0
55.0 state avg
On-Site Inspections
22
8,103 statewide
Citations Issued
5
1.2 per 100 beds · avg 3.0
Facility-Reported Incidents
84%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 5 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 11 |
| Resident Rights | 6 |
| Total | 25 |
Enforcement & Fines
Feb 2016 – Jan 20266 enforcement actions totaling $34,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 8, 2024
$8,000
Stipulation & Order #NH-25-049 · Signed August 27, 2025
Reason: Quality of Care
Reason: Quality of Care
October 23, 2023
$2,000
Stipulation & Order #NH-24-020 · Signed March 1, 2024
Reason: Quality of Care
Reason: Quality of Care
December 23, 2021
$2,000
Stipulation & Order #NH-22-064 · Signed May 5, 2022
Reason: Quality of Care
Reason: Quality of Care
October 21, 2020
$10,000
Stipulation & Order #NH-21-080 · Signed April 28, 2021
Reason: Quality of Care
Reason: Quality of Care
September 4, 2019
$10,000
Stipulation & Order #NH-20-006 · Signed January 9, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
June 29, 2019
$2,000
Stipulation & Order #NH-20-008 · Signed January 3, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies