Citations Summary
Jun 2022 – May 202612 Inspections Conducted
8
No citations found
67% of all inspections
4
Resulted in citations
33% of all inspections
26 Total Citations — state avg: 41
Issued across those 4 inspections
18Standard Health
8Life Safety Code
Severity of Citations
How serious were those 26 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 12 inspections in the current reporting window, 8 found no citations at all; inspectors issued 26 citations in total.
- Of those, 18 were standard health citations (quality of care) and 8 were related to the Life Safety Code (fire protection).
- The state logged 377 complaints about this facility; 15 led to on-site inspections.
- The state has 1 formal enforcement action (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
7002345N
County
New York
Phone
(212) 360-3600
Operated By
Catholic Health Care System (Not for Profit)
DOH Regional Office
New York Metro
Occupancy Rate
92%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Baseline Care Plan
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
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Horizontal Exits
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
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
Jun 2022 – May 2026Above state average. This facility received 72.1 complaints per 100 beds vs. a statewide rate of 57.4. 7 citations resulted from those complaints (1.3 per 100 beds vs. 5.3 statewide).
Total Complaints
377
55,669 statewide
Per 100 Occupied Beds
72.1
57.4 state avg
On-Site Inspections
15
7,566 statewide
Citations Issued
7
1.3 per 100 beds · avg 5.3
Facility-Reported Incidents
65%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 1 |
| Resident Rights | 4 |
| Total | 10 |
Enforcement & Fines
Jun 2016 – May 20261 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 15, 2021
$2,000
Stipulation & Order #NH-21-128 · Signed June 28, 2021
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies