Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
2
No citations found
25% of all inspections
6
Resulted in citations
75% of all inspections
17 Total Citations — state avg: 23
Issued across those 6 inspections
12Standard Health
5Life 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
Organization And Administration
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Qaa Committee
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
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
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
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 2026Below state average. This facility received 40.6 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (2.0 per 100 beds vs. 3.0 statewide).
Total Complaints
80
55,221 statewide
Per 100 Occupied Beds
40.6
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
4
2.0 per 100 beds · avg 3.0
Facility-Reported Incidents
8%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 7 |
| Quality of Care | 13 |
| Resident Rights | 3 |
| Total | 23 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $28,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 3, 2025
$2,000
Stipulation & Order #NH-25-077 · Signed October 23, 2025
Reason: Quality of Care
Reason: Quality of Care
March 16, 2023
$2,000
Stipulation & Order #NH-23-073 · Signed August 4, 2023
Reason: Infection Control
Reason: Infection Control
May 11, 2020
$24,000
Stipulation & Order #NH-20-030 · Signed June 29, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies