Citations Summary
Jun 2022 – May 202614 Total Citations — state avg: 41
Issued in the reporting period
7Standard Health
7Life Safety Code
Severity of Citations
How serious were those 14 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 2 inspections in the current reporting window; inspectors issued 14 citations in total.
- Of those, 7 were standard health citations (quality of care) and 7 were related to the Life Safety Code (fire protection).
- The state logged 16 complaints about this facility; 2 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
3535001N
County
Orange
Phone
(845) 856-5351
Operated By
Bon Secours Charity Health System, Inc. (Not for Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
98%
Staff Flu Vaccination
89%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
▼
Life Safety Code Citations
Fire Drills
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
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 50.3 complaints per 100 beds vs. a statewide rate of 57.4. 3 citations resulted from those complaints (9.4 per 100 beds vs. 5.3 statewide).
Total Complaints
16
55,669 statewide
Per 100 Occupied Beds
50.3
57.4 state avg
On-Site Inspections
2
7,566 statewide
Citations Issued
3
9.4 per 100 beds · avg 5.3
Facility-Reported Incidents
81%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 1 |
| Resident Rights | 1 |
| Total | 6 |