Citations Summary
Feb 2022 – Jan 20265 Inspections Conducted
3
No citations found
60% of all inspections
2
Resulted in citations
40% of all inspections
11 Total Citations — state avg: 23
Issued across those 2 inspections
7Standard Health
4Life Safety Code
Severity of Citations
How serious were those 11 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Infection Prevention & Control
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
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
Infection Prevention & Control
Standard Health Citation — quality of care
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
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
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
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 26.7 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
24
55,221 statewide
Per 100 Occupied Beds
26.7
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
0
0.0 per 100 beds · avg 3.0
Facility-Reported Incidents
21%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 1 |
| Resident Rights | 1 |
| Total | 4 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $16,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 29, 2021
$4,000
Stipulation & Order #NH-22-026 · Signed February 3, 2022
Reason: Quality of Care
Reason: Quality of Care
December 29, 2017
$12,000
Stipulation & Order #NH-18-027 · Signed May 29, 2018
Reason: Quality of Care
Reason: Quality of Care