Citations Summary
Feb 2022 – Jan 202611 Inspections Conducted
4
No citations found
36% of all inspections
7
Resulted in citations
64% of all inspections
22 Total Citations — state avg: 23
Issued across those 7 inspections
16Standard Health
6Life Safety Code
Severity of Citations
How serious were those 22 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Administration
Standard Health Citation — quality of care
Communication Training
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
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
Protection/management Of Personal Funds
Standard Health Citation — quality of care
Qapi Training
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
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
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Surety Bond-security Of Personal Funds
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
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
▼
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
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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 36.5 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.5 per 100 beds vs. 3.0 statewide).
Total Complaints
72
55,221 statewide
Per 100 Occupied Beds
36.5
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
3
1.5 per 100 beds · avg 3.0
Facility-Reported Incidents
22%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 10 |
| Resident Rights | 7 |
| Total | 20 |
Enforcement & Fines
Feb 2016 – Jan 20264 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 22, 2025
$6,000
Stipulation & Order #NH-25-090 · Signed December 3, 2025
Reason: Physical Environment
Reason: Physical Environment
January 5, 2023
$2,000
Stipulation & Order #NH-23-049 · Signed April 21, 2023
Reason: Infection Control
Reason: Infection Control
February 20, 2013
$2,000
Stipulation & Order #NH-16-199 · Signed September 27, 2016
Reason: Quality of Care
Reason: Quality of Care
September 20, 2011
$10,000
Stipulation & Order #NH-16-198 · Signed September 27, 2016
Reason: Quality of Care
Reason: Quality of Care