Citations Summary
Feb 2022 – Jan 202612 Inspections Conducted
9
No citations found
75% of all inspections
3
Resulted in citations
25% of all inspections
24 Total Citations — state avg: 23
Issued across those 3 inspections
21Standard Health
3Life 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
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Behavioral Health Services
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Transfer And Discharge Requirements
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Drills
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
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
Feb 2022 – Jan 2026Below state average. This facility received 31.1 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (1.3 per 100 beds vs. 3.0 statewide).
Total Complaints
47
55,221 statewide
Per 100 Occupied Beds
31.1
55.0 state avg
On-Site Inspections
18
8,103 statewide
Citations Issued
2
1.3 per 100 beds · avg 3.0
Facility-Reported Incidents
23%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 17 |
| Resident Rights | 5 |
| Total | 25 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
August 23, 2023
$10,000
Stipulation & Order #NH-24-029 · Signed May 6, 2024
Reason: Physical Environment
Reason: Physical Environment
November 16, 2020
$2,000
Stipulation & Order #NH-21-006 · Signed January 8, 2021
Reason: Quality of Care
Reason: Quality of Care
July 26, 2016
$12,000
Stipulation & Order #NH-17-033 · Signed April 25, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies