Citations Summary

Feb 2022 โ€“ Jan 2026
6 Inspections Conducted
3
No citations found
50% of all inspections
3
Resulted in citations
50% of all inspections
13 Total Citations โ€” state avg: 23
Issued across those 3 inspections
10Standard Health
3Life Safety Code
Severity of Citations
How serious were those 13 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
January 10, 2025 Certification/Complaint Survey 5 Health 4 LSC
โ–ผ
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 13, 2025
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 21, 2025
Pasarr Screening For Md & Id
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 13, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 13, 2025
Sufficient Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 10, 2025
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 28, 2025
Ep Training Program
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 20, 2025
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread March 11, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 11, 2025
September 13, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 12, 2023
April 19, 2022 Certification/Complaint Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Infection Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern June 17, 2022
Resident Records - Identifiable Information
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 17, 2022
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

Feb 2022 โ€“ Jan 2026
Below state average. This facility received 28.0 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (1.9 per 100 beds vs. 3.0 statewide).
Total Complaints
30
55,221 statewide
Per 100 Occupied Beds
28.0
55.0 state avg
On-Site Inspections
7
8,103 statewide
Citations Issued
2
1.9 per 100 beds ยท avg 3.0
Facility-Reported Incidents
30%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment0
Quality of Care11
Resident Rights4
Total15

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 26, 2021
$2,000
Stipulation & Order #NH-22-020 ยท Signed January 6, 2022
Reason: Quality of Care