Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
3
No citations found
33% of all inspections
6
Resulted in citations
67% of all inspections
22 Total Citations — state avg: 23
Issued across those 6 inspections
18Standard Health
4Life 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
Accuracy Of Assessments
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Discharge Summary
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Accuracy Of Assessments
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
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
Reporting Of Reasonable Suspicion Of A Crime
Standard Health Citation — quality of care
Life Safety Code Citations
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
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 42.3 complaints per 100 beds vs. a statewide rate of 55.0. 9 citations resulted from those complaints (4.0 per 100 beds vs. 3.0 statewide).
Total Complaints
94
55,221 statewide
Per 100 Occupied Beds
42.3
55.0 state avg
On-Site Inspections
12
8,103 statewide
Citations Issued
9
4.0 per 100 beds · avg 3.0
Facility-Reported Incidents
71%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 15 |
| Resident Rights | 6 |
| Total | 25 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 3, 2022
$6,000
Stipulation & Order #NH-22-091 · Signed May 25, 2022
Reason: Quality of Care
Reason: Quality of Care