Citations Summary

Feb 2022 โ€“ Jan 2026
30 Total Citations โ€” state avg: 23
Issued in the reporting period
26Standard Health
4Life Safety Code
Severity of Citations
How serious were those 30 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
August 16, 2024 Certification/Complaint Survey 6 Health 3 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 2, 2024
Dialysis
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 2, 2024
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 2, 2024
Posted Nurse Staffing Information
Standard Health Citation โ€” quality of care
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 2, 2024
Right To Be Free From Physical Restraints
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 7, 2024
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 2, 2024
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 6, 2024
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 6, 2024
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 6, 2024
December 11, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 24, 2024
May 15, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
May 8, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
May 2, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
October 13, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated November 9, 2022
July 15, 2022 Certification/Complaint Survey 3 Health 4 LSC
โ–ผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Life Safety Code Citations
Aisle, Corridor, Or Ramp Width
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Elevators
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 7, 2022
July 5, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
May 24, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 13, 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 46.1 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (3.9 per 100 beds vs. 3.0 statewide).
Total Complaints
72
55,221 statewide
Per 100 Occupied Beds
46.1
55.0 state avg
On-Site Inspections
17
8,103 statewide
Citations Issued
6
3.9 per 100 beds ยท avg 3.0
Facility-Reported Incidents
42%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services2
Other Services0
Physical Environment1
Quality of Care23
Resident Rights8
Total34

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
4 enforcement actions totaling $32,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 13, 2022
$2,000
Stipulation & Order #NH-22-184 ยท Signed December 22, 2022
Reason: Quality of Care
June 1, 2021
$12,000
Stipulation & Order #NH-22-176 ยท Signed August 2, 2022
Reason: Quality of Care
January 5, 2021
$2,000
Stipulation & Order #NH-21-063 ยท Signed April 1, 2021
Reason: Quality of Care
April 13, 2016
$16,000
Stipulation & Order #NH-17-006 ยท Signed January 3, 2017
Reason: Multiple Deficiencies