Citations Summary
Jun 2022 โ May 20268 Inspections Conducted
3
No citations found
38% of all inspections
5
Resulted in citations
62% of all inspections
61 Total Citations โ state avg: 41
Issued across those 5 inspections
42Standard Health
19Life Safety Code
Severity of Citations
How serious were those 61 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 8 inspections in the current reporting window, 3 found no citations at all; inspectors issued 61 citations in total.
- Of those, 42 were standard health citations (quality of care) and 19 were related to the Life Safety Code (fire protection).
- The state logged 167 complaints about this facility; 8 led to on-site inspections.
- The state has 2 formal enforcement actions (fines or stipulations) on record.
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
2828300N
County
Montgomery
Phone
(518) 568-5037
Operated By
St Johnsville Rehabilitation & Nursing Center, Inc (For Profit)
DOH Regional Office
Capital District
Occupancy Rate
100%
Staff Flu Vaccination
98%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation โ quality of care
Label/store Drugs And Biologicals
Standard Health Citation โ quality of care
Maintains Effective Pest Control Program
Standard Health Citation โ quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation โ quality of care
Other Laws, Codes, Rules And Regulations.
Standard Health Citation โ quality of care
Posted Nurse Staffing Information
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation โ NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation โ NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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
Criminal History Record Check Process
Standard Health Citation โ quality of care
Criminal History Record Check Process
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation โ quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Infection Control
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Personal Food Policy
Standard Health Citation โ quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation โ quality of care
Life Safety Code Citations
Egress Doors
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ NFPA requirements
Ep Testing Requirements
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Installation
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Qualifications And Training
Life Safety Code Citation โ NFPA requirements
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 142.7 complaints per 100 beds vs. a statewide rate of 57.4. 11 citations resulted from those complaints (9.4 per 100 beds vs. 5.3 statewide).
Total Complaints
167
55,669 statewide
Per 100 Occupied Beds
142.7
57.4 state avg
On-Site Inspections
8
7,566 statewide
Citations Issued
11
9.4 per 100 beds ยท avg 5.3
Facility-Reported Incidents
88%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 3 |
| Physical Environment | 2 |
| Quality of Care | 3 |
| Resident Rights | 4 |
| Total | 14 |
Enforcement & Fines
Jun 2016 โ May 20262 enforcement actions totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 19, 2022
$6,000
Stipulation & Order #NH-22-166 ยท Signed December 9, 2022
Reason: Quality of Care
Reason: Quality of Care
September 11, 2021
$4,000
Stipulation & Order #NH-21-243 ยท Signed December 28, 2021
Reason: Quality of Care
Reason: Quality of Care