Citations Summary
Feb 2022 – Jan 202613 Inspections Conducted
9
No citations found
69% of all inspections
4
Resulted in citations
31% of all inspections
34 Total Citations — state avg: 23
Issued across those 4 inspections
30Standard Health
4Life Safety Code
Severity of Citations
How serious were those 34 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Parenteral/iv Fluids
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Quality Of Care
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 36.2 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.7 per 100 beds vs. 3.0 statewide).
Total Complaints
87
55,221 statewide
Per 100 Occupied Beds
36.2
55.0 state avg
On-Site Inspections
25
8,103 statewide
Citations Issued
4
1.7 per 100 beds · avg 3.0
Facility-Reported Incidents
40%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 24 |
| Resident Rights | 8 |
| Total | 37 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $20,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 5, 2024
$10,000
Stipulation & Order #NH-24-058 · Signed October 3, 2024
Reason: Resident Rights
Reason: Resident Rights
September 8, 2023
$10,000
Stipulation & Order #NH-24-010 · Signed January 18, 2024
Reason: Quality of Care
Reason: Quality of Care