Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
4
No citations found
50% of all inspections
4
Resulted in citations
50% of all inspections
19 Total Citations — state avg: 23
Issued across those 4 inspections
15Standard Health
4Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
Free of accident hazards/supervision/devices · December 9, 2025 · Not yet corrected
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Emergency Lighting
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Life Safety Code Citations
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Ep Program Patient Population
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Multiple Occupancies
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
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 56.2 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.6 per 100 beds vs. 3.0 statewide).
Total Complaints
109
55,221 statewide
Per 100 Occupied Beds
56.2
55.0 state avg
On-Site Inspections
12
8,103 statewide
Citations Issued
3
1.6 per 100 beds · avg 3.0
Facility-Reported Incidents
52%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 5 |
| Quality of Care | 10 |
| Resident Rights | 4 |
| Total | 22 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $34,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 23, 2021
$18,000
Stipulation & Order #NH-21-244 · Signed December 28, 2021
Reason: Quality of Care
Reason: Quality of Care
July 17, 2020
$6,000
Stipulation & Order #NH-20-060 · Signed October 6, 2020
Reason: Quality of Care
Reason: Quality of Care
August 11, 2016
$10,000
Stipulation & Order #NH-17-005 · Signed December 15, 2016
Reason: Quality of Care
Reason: Quality of Care