Citations Summary
Jun 2022 โ May 20267 Inspections Conducted
2
No citations found
29% of all inspections
5
Resulted in citations
71% of all inspections
6 Total Citations โ state avg: 41
Issued across those 5 inspections
5Standard Health
1Life Safety Code
Severity of Citations
How serious were those 6 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 7 inspections in the current reporting window, 2 found no citations at all; inspectors issued 6 citations in total.
- Of those, 5 were standard health citations (quality of care) and 1 was related to the Life Safety Code (fire protection).
- The state logged 153 complaints about this facility; 8 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
5034300N
County
Steuben
Phone
(607) 324-6900
Operated By
1 Bethesda Drive Operating Company LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
92%
Staff Flu Vaccination
97%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
Severity Scale Reference
Level 0 โ No Harm Potential
Level 2 โ Minor Potential Harm
Level 3 โ Actual Harm
Level 4 โ Immediate Jeopardy
Complaints
Jun 2022 โ May 2026Above state average. This facility received 153.0 complaints per 100 beds vs. a statewide rate of 57.4. 1 citations resulted from those complaints (1.0 per 100 beds vs. 5.3 statewide).
Total Complaints
153
55,669 statewide
Per 100 Occupied Beds
153.0
57.4 state avg
On-Site Inspections
8
7,566 statewide
Citations Issued
1
1.0 per 100 beds ยท avg 5.3
Facility-Reported Incidents
88%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 1 |
| Physical Environment | 0 |
| Quality of Care | 0 |
| Resident Rights | 0 |
| Total | 1 |