Citations Summary

Feb 2022 โ€“ Jan 2026
9 Total Citations โ€” state avg: 23
Issued in the reporting period
5Standard Health
4Life Safety Code
Severity of Citations
How serious were those 9 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
December 19, 2024 Certification/Complaint Survey 7 Health 7 LSC
โ–ผ
Standard Health Citations
Bedrails
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 14, 2025
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Resident Allergies, Preferences, Substitutes
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 18, 2025
Corridor - Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 21, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 18, 2025
Exit Signage
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 28, 2025
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 28, 2025
Portable Space Heaters
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 18, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 18, 2025
May 4, 2023 Certification/Complaint Survey 3 Health 4 LSC
โ–ผ
Standard Health Citations
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Responsibilities Of Providers; Required Notif
Standard Health Citation โ€” quality of care
Level 0 ๐Ÿ‘ค Scope June 30, 2023
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 2023
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 30, 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 76.2 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
32
55,221 statewide
Per 100 Occupied Beds
76.2
55.0 state avg
On-Site Inspections
3
8,103 statewide
Citations Issued
0
0.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
100%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services0
Other Services0
Physical Environment0
Quality of Care0
Resident Rights0
Total0

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
May 5, 2023
$2,000
Stipulation & Order #NH-23-093 ยท Signed October 10, 2023
Reason: Infection Control