Citations Summary

Feb 2022 โ€“ Jan 2026
16 Total Citations โ€” state avg: 23
Issued in the reporting period
11Standard Health
5Life Safety Code
Severity of Citations
How serious were those 16 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
July 16, 2025 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Cardio-pulmonary Resuscitation (cpr)
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 7, 2025
March 31, 2025 Certification/Complaint Survey 4 Health 6 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 29, 2025
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 29, 2025
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 29, 2025
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 29, 2025
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 25, 2025
Electrical Systems - Other
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 20, 2025
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern April 29, 2025
Physical Environment
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 12, 2025
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 20, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern May 23, 2025
September 30, 2024 Complaint Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Administration
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 6, 2024
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated November 6, 2024
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated November 6, 2024
December 13, 2023 Certification/Complaint Survey 5 Health 3 LSC
โ–ผ
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 9, 2024
Encoding/transmitting Resident Assessments
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 9, 2024
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 9, 2024
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 9, 2024
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 9, 2024
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 1, 2024
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2024
Smoke Detection
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2024
November 10, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Requirements Before Submitting A Request For
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope December 29, 2023
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 2026
Below state average. This facility received 19.1 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.3 per 100 beds vs. 3.0 statewide).
Total Complaints
72
55,221 statewide
Per 100 Occupied Beds
19.1
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
1
0.3 per 100 beds ยท avg 3.0
Facility-Reported Incidents
63%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment0
Quality of Care4
Resident Rights3
Total7

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 30, 2024
$12,000
Stipulation & Order #NH-25-022 ยท Signed April 11, 2025
Reason: Multiple Deficiencies