Citations Summary

Jun 2022 โ€“ May 2026
7 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 โœ“
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 Only
February 2, 2024 CERTIFICATION/COMPLAINT Survey 1 Health 1 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 29, 2024
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 29, 2024
October 17, 2023 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
October 10, 2023 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
October 2, 2023 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
October 24, 2022 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
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 2026
Above 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 CategoryThis Facility
Administration0
Dietary Services0
Other Services1
Physical Environment0
Quality of Care0
Resident Rights0
Total1

Enforcement & Fines

Jun 2016 โ€“ May 2026