Citations Summary
Feb 2022 โ Jan 202623 Inspections Conducted
6
No citations found
26% of all inspections
17
Resulted in citations
74% of all inspections
34 Total Citations โ state avg: 23
Issued across those 17 inspections
28Standard Health
6Life Safety Code
Severity of Citations
How serious were those 34 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation โ quality of care
Life Safety Code Citations
Doors With Self-closing Devices
Life Safety Code Citation โ NFPA requirements
Emergency Lighting
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Care Plan Timing And Revision
Standard Health Citation โ quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Infection Preventionist Qualifications/role
Standard Health Citation โ quality of care
Resident Records - Identifiable Information
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation โ quality of care
Services Provided Meet Professional Standards
Standard Health Citation โ quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ quality of care
Life Safety Code Citations
Gas And Vacuum Piped Systems - Central Supply
Life Safety Code Citation โ NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation โ NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ NFPA requirements
Physical Environment
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation โ quality of care
Care Plan Timing And Revision
Standard Health Citation โ quality of care
Label/store Drugs And Biologicals
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Right To Be Free From Physical Restraints
Standard Health Citation โ quality of care
Life Safety Code Citations
Doors With Self-closing Devices
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Other
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ NFPA requirements
Severity Scale Reference
Level 0 โ No Harm Potential
Level 2 โ Minor Potential Harm
Level 3 โ Actual Harm
Level 4 โ Immediate Jeopardy
Complaints
Feb 2022 โ Jan 2026Below state average. This facility received 14.1 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (2.5 per 100 beds vs. 3.0 statewide).
Total Complaints
28
55,221 statewide
Per 100 Occupied Beds
14.1
55.0 state avg
On-Site Inspections
11
8,103 statewide
Citations Issued
5
2.5 per 100 beds ยท avg 3.0
Facility-Reported Incidents
4%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 18 |
| Resident Rights | 9 |
| Total | 34 |
Enforcement & Fines
Feb 2016 โ Jan 20263 enforcement actions totaling $22,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
August 31, 2023
$10,000
Stipulation & Order #NH-24-011 ยท Signed January 18, 2024
Reason: Quality of Care
Reason: Quality of Care
June 27, 2022
$10,000
Stipulation & Order #NH-24-044 ยท Signed July 15, 2024
Reason: Quality of Care
Reason: Quality of Care
December 23, 2016
$2,000
Stipulation & Order #NH-17-034 ยท Signed May 8, 2017
Reason: Quality of Care
Reason: Quality of Care