Citations Summary
Feb 2022 โ Jan 202617 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 โ
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Criminal History Record Check Process
Standard Health Citation โ quality of care
Department Criminal History Review
Standard Health Citation โ quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation โ quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ quality of care
Requirements Before Submitting A Request For
Standard Health Citation โ quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation โ quality of care
Right To Participate In Planning Care
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Systems - Other
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
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
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Baseline Care Plan
Standard Health Citation โ quality of care
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 Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Label/store Drugs And Biologicals
Standard Health Citation โ quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation โ quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Right To Forms Of Communication W/ Privacy
Standard Health Citation โ quality of care
Subsistence Needs For Staff And Patients
Standard Health Citation โ quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ NFPA requirements
Means Of Egress - General
Life Safety Code Citation โ NFPA requirements
Portable Fire Extinguishers
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
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 2026Above 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 Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 11 |
| Other Services | 0 |
| Physical Environment | 11 |
| Quality of Care | 25 |
| Resident Rights | 9 |
| Total | 56 |
Enforcement & Fines
Feb 2016 โ Jan 20265 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
Reason: Quality of Care
June 30, 2021
$2,000
Stipulation & Order #NH-21-204 ยท Signed November 3, 2021
Reason: Quality of Care
Reason: Quality of Care
June 9, 2017
$12,000
Stipulation & Order #NH-17-051 ยท Signed September 11, 2017
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
March 21, 2014
$10,000
Stipulation & Order #NH-16-118 ยท Signed March 9, 2016
Reason: Quality of Care
Reason: Quality of Care
April 27, 2012
$18,000
Stipulation & Order #NH-16-201 ยท Signed September 30, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies