Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
4
No citations found
44% of all inspections
5
Resulted in citations
56% of all inspections
24 Total Citations — state avg: 23
Issued across those 5 inspections
18Standard Health
6Life 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
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Right To Participate In Planning Care
Standard Health Citation — quality of care
Surety Bond-security Of Personal Funds
Standard Health Citation — quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
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 2026Above state average. This facility received 57.7 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (2.6 per 100 beds vs. 3.0 statewide).
Total Complaints
131
55,221 statewide
Per 100 Occupied Beds
57.7
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
6
2.6 per 100 beds · avg 3.0
Facility-Reported Incidents
83%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 5 |
| Resident Rights | 4 |
| Total | 11 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $4,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 18, 2020
$4,000
Stipulation & Order #NH-21-075 · Signed March 31, 2021
Reason: Quality of Care
Reason: Quality of Care