Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
3
No citations found
38% of all inspections
5
Resulted in citations
62% of all inspections
18 Total Citations — state avg: 23
Issued across those 5 inspections
14Standard Health
4Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
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
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
Life Safety Code Citations
Physical Environment
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
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 32.0 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (1.0 per 100 beds vs. 3.0 statewide).
Total Complaints
63
55,221 statewide
Per 100 Occupied Beds
32.0
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
2
1.0 per 100 beds · avg 3.0
Facility-Reported Incidents
59%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 5 |
| Resident Rights | 3 |
| Total | 8 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $26,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 12, 2023
$2,000
Stipulation & Order #NH-24-007 · Signed January 2, 2024
Reason: Quality of Care
Reason: Quality of Care
May 1, 2020
$14,000
Stipulation & Order #NH-20-046 · Signed September 25, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
January 24, 2018
$10,000
Stipulation & Order #NH-18-018 · Signed April 30, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies