Citations Summary
Jun 2022 – May 20265 Inspections Conducted
2
No citations found
40% of all inspections
3
Resulted in citations
60% of all inspections
24 Total Citations — state avg: 41
Issued across those 3 inspections
9Standard Health
15Life Safety Code
Severity of Citations
How serious were those 24 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 5 inspections in the current reporting window, 2 found no citations at all; inspectors issued 24 citations in total.
- Of those, 9 were standard health citations (quality of care) and 15 were related to the Life Safety Code (fire protection).
- The state logged 59 complaints about this facility; 9 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
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
3523304N
County
Orange
Phone
(845) 360-1207
Operated By
Goshen Operations, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
95%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Exit Signage
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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
Jun 2022 – May 2026Below state average. This facility received 52.1 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (1.8 per 100 beds vs. 5.3 statewide).
Total Complaints
59
55,669 statewide
Per 100 Occupied Beds
52.1
57.4 state avg
On-Site Inspections
9
7,566 statewide
Citations Issued
2
1.8 per 100 beds · avg 5.3
Facility-Reported Incidents
49%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 2 |
| Resident Rights | 1 |
| Total | 7 |