Citations Summary

Feb 2022 โ€“ Jan 2026
17 Inspections Conducted
14
No citations found
82% of all inspections
3
Resulted in citations
18% of all inspections
31 Total Citations โ€” state avg: 23
Issued across those 3 inspections
28Standard Health
3Life Safety Code
Severity of Citations
How serious were those 31 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
December 18, 2025 Certification Survey 11 Health 4 LSC
โ–ผ
Standard Health Citations
Criminal History Record Check Process
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Scope Not yet corrected
Department Criminal History Review
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope Not yet corrected
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Essential Equipment, Safe Operating Condition
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Requirements Before Submitting A Request For
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope Not yet corrected
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope Not yet corrected
Right To Participate In Planning Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Life Safety Code Citations
Electrical Systems - Other
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 28, 2026
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 28, 2026
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread January 28, 2026
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 28, 2026
February 29, 2024 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated April 19, 2024
August 21, 2023 Certification/Complaint Survey 14 Health 6 LSC
โ–ผ
Standard Health Citations
Baseline Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Dispose Garbage And Refuse Properly
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread October 10, 2023
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread October 10, 2023
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 10, 2023
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Nutrition/hydration Status Maintenance
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Right To Forms Of Communication W/ Privacy
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 10, 2023
Subsistence Needs For Staff And Patients
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 10, 2023
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 10, 2023
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread October 17, 2023
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 17, 2023
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 17, 2023
Portable Fire Extinguishers
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 17, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 17, 2023
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 17, 2023
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
Above state average. This facility received 67.7 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.1 per 100 beds vs. 3.0 statewide).
Total Complaints
245
55,221 statewide
Per 100 Occupied Beds
67.7
55.0 state avg
On-Site Inspections
26
8,103 statewide
Citations Issued
4
1.1 per 100 beds ยท avg 3.0
Facility-Reported Incidents
53%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services11
Other Services0
Physical Environment11
Quality of Care25
Resident Rights9
Total56

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
5 enforcement actions totaling $44,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 18, 2022
$2,000
Stipulation & Order #NH-22-152 ยท Signed October 11, 2022
Reason: Quality of Care
June 30, 2021
$2,000
Stipulation & Order #NH-21-204 ยท Signed November 3, 2021
Reason: Quality of Care
June 9, 2017
$12,000
Stipulation & Order #NH-17-051 ยท Signed September 11, 2017
Reason: Multiple Deficiencies
March 21, 2014
$10,000
Stipulation & Order #NH-16-118 ยท Signed March 9, 2016
Reason: Quality of Care
April 27, 2012
$18,000
Stipulation & Order #NH-16-201 ยท Signed September 30, 2016
Reason: Multiple Deficiencies