Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
2
No citations found
25% of all inspections
6
Resulted in citations
75% of all inspections
42 Total Citations — state avg: 23
Issued across those 6 inspections
37Standard Health
5Life Safety Code
Severity of Citations
How serious were those 42 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
Free from abuse and neglect · January 7, 2025 · Not yet corrected
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Cardio-pulmonary Resuscitation (cpr)
Standard Health Citation — quality of care
Cardio-pulmonary Resuscitation (cpr)
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Lab Srvcs Physician Order/notify Of Results
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Qualified Persons
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Required Postings
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Portable Space Heaters
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Quality Of Care
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Frequency Of Meals/snacks At Bedtime
Standard Health Citation — quality of care
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Ep Training Program
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Procedures For Tracking Of Staff And Patients
Life Safety Code Citation — NFPA requirements
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
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 2026Above state average. This facility received 125.0 complaints per 100 beds vs. a statewide rate of 55.0. 27 citations resulted from those complaints (35.5 per 100 beds vs. 3.0 statewide).
Total Complaints
95
55,221 statewide
Per 100 Occupied Beds
125.0
55.0 state avg
On-Site Inspections
31
8,103 statewide
Citations Issued
27
35.5 per 100 beds · avg 3.0
Facility-Reported Incidents
16%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 6 |
| Other Services | 0 |
| Physical Environment | 7 |
| Quality of Care | 47 |
| Resident Rights | 13 |
| Total | 74 |
Enforcement & Fines
Feb 2016 – Jan 20268 enforcement actions totaling $98,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 7, 2025
$10,000
Stipulation & Order #NH-26-005 · Signed January 7, 2026
Reason: Quality of Care
Reason: Quality of Care
December 8, 2023
$30,000
Stipulation & Order #NH-24-031 · Signed May 24, 2024
Reason: Quality of Care
Reason: Quality of Care
April 18, 2022
$2,000
Stipulation & Order #NH-22-108 · Signed July 21, 2022
Reason: Quality of Care
Reason: Quality of Care
August 25, 2021
$2,000
Stipulation & Order #NH-22-016 · Signed January 11, 2022
Reason: Quality of Care
Reason: Quality of Care
August 12, 2020
$20,000
Stipulation & Order #NH-20-064 · Signed October 20, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 31, 2018
$2,000
Stipulation & Order #NH-18-047 · Signed October 23, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 3, 2018
$10,000
Stipulation & Order #NH-18-046 · Signed November 6, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
February 9, 2018
$22,000
Stipulation & Order #NH-18-025 · Signed April 12, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies