Citations Summary

Feb 2022 โ€“ Jan 2026
18 Total Citations โ€” state avg: 23
Issued in the reporting period
14Standard Health
4Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
July 22, 2025 Certification Survey 6 Health 10 LSC
โ–ผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 1, 2025
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 1, 2025
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 1, 2025
Pasarr Screening For Md & Id
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 1, 2025
Resident Allergies, Preferences, Substitutes
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 1, 2025
Sufficient Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 1, 2025
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread November 7, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 12, 2025
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 12, 2025
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 12, 2025
Hvac
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 12, 2025
Multiple Occupancies - Contiguous Non-health
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 12, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 6, 2025
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 6, 2025
Subsistence Needs For Staff And Patients
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 1, 2025
Utilities - Gas And Electric
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 12, 2025
November 14, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 1, 2023
October 25, 2023 Certification/Complaint Survey 0 Health 2 LSC
โ–ผ
Life Safety Code Citations
Gas And Vacuum Piped Systems - Information An
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 8, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 8, 2023
June 17, 2022 Complaint Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 16, 2022
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 16, 2022
April 28, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated June 15, 2022
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
Below state average. This facility received 32.8 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (2.0 per 100 beds vs. 3.0 statewide).
Total Complaints
64
55,221 statewide
Per 100 Occupied Beds
32.8
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
4
2.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
63%
55% statewide
Citations by CategoryThis Facility
Administration1
Dietary Services0
Other Services0
Physical Environment2
Quality of Care8
Resident Rights4
Total15

Enforcement & Fines

Feb 2016 โ€“ Jan 2026
1 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 28, 2022
$10,000
Stipulation & Order #NH-22-123 ยท Signed August 16, 2022
Reason: Quality of Care