Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
4
No citations found
40% of all inspections
6
Resulted in citations
60% of all inspections
22 Total Citations — state avg: 23
Issued across those 6 inspections
18Standard Health
4Life Safety Code
Severity of Citations
How serious were those 22 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Other
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Out Of Service
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Sprinkler System - Out Of Service
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Dialysis
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
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 2026Below state average. This facility received 46.2 complaints per 100 beds vs. a statewide rate of 55.0. 8 citations resulted from those complaints (2.6 per 100 beds vs. 3.0 statewide).
Total Complaints
141
55,221 statewide
Per 100 Occupied Beds
46.2
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
8
2.6 per 100 beds · avg 3.0
Facility-Reported Incidents
56%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 19 |
| Resident Rights | 9 |
| Total | 33 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $18,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 30, 2024
$12,000
Stipulation & Order #NH-24-068 · Signed October 21, 2024
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
October 5, 2021
$2,000
Stipulation & Order #NH-22-046 · Signed March 16, 2022
Reason: Quality of Care
Reason: Quality of Care
May 11, 2020
$4,000
Stipulation & Order #NH-20-029 · Signed July 6, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies