Citations Summary
Feb 2022 – Jan 202613 Inspections Conducted
9
No citations found
69% of all inspections
4
Resulted in citations
31% of all inspections
27 Total Citations — state avg: 23
Issued across those 4 inspections
23Standard Health
4Life Safety Code
Severity of Citations
How serious were those 27 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Life Safety Code Citations
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Hospital Cah And Ltc Emergency Power
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Subsistence Needs For Staff And Patients
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 43.2 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.4 per 100 beds vs. 3.0 statewide).
Total Complaints
114
55,221 statewide
Per 100 Occupied Beds
43.2
55.0 state avg
On-Site Inspections
19
8,103 statewide
Citations Issued
1
0.4 per 100 beds · avg 3.0
Facility-Reported Incidents
56%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 18 |
| Resident Rights | 7 |
| Total | 28 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
June 9, 2020
$6,000
Stipulation & Order #NH-20-037 · Signed August 31, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies