Citations Summary
Jun 2022 – May 202626 Total Citations — state avg: 41
Issued in the reporting period
12Standard Health
14Life Safety Code
Severity of Citations
How serious were those 26 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 3 inspections in the current reporting window; inspectors issued 26 citations in total.
- Of those, 12 were standard health citations (quality of care) and 14 were related to the Life Safety Code (fire protection).
- The state logged 28 complaints about this facility; 4 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
3529301N
County
Orange
Phone
(845) 987-5656
Operated By
Villa Frances at the Knolls (Not for Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
65%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Responsibilities Of Medical Director
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Discharge From Exits
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
Life Safety Code Citations
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Local, State, Tribal Collaboration Process
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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
Jun 2022 – May 2026Below state average. This facility received 37.5 complaints per 100 beds vs. a statewide rate of 57.4. 5 citations resulted from those complaints (6.7 per 100 beds vs. 5.3 statewide).
Total Complaints
28
55,669 statewide
Per 100 Occupied Beds
37.5
57.4 state avg
On-Site Inspections
4
7,566 statewide
Citations Issued
5
6.7 per 100 beds · avg 5.3
Facility-Reported Incidents
57%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 1 |
| Total | 9 |