Citations Summary
Feb 2022 – Jan 202614 Inspections Conducted
6
No citations found
43% of all inspections
8
Resulted in citations
57% of all inspections
27 Total Citations — state avg: 23
Issued across those 8 inspections
22Standard Health
5Life 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
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Electrical Systems - Receptacles
Life Safety Code Citation — NFPA requirements
Plan Based On All Hazards Risk Assessment
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
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
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
▼
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 2026Above state average. This facility received 68.8 complaints per 100 beds vs. a statewide rate of 55.0. 5 citations resulted from those complaints (2.2 per 100 beds vs. 3.0 statewide).
Total Complaints
159
55,221 statewide
Per 100 Occupied Beds
68.8
55.0 state avg
On-Site Inspections
14
8,103 statewide
Citations Issued
5
2.2 per 100 beds · avg 3.0
Facility-Reported Incidents
61%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 13 |
| Resident Rights | 7 |
| Total | 24 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $2,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
December 21, 2021
$2,000
Stipulation & Order #NH-22-052 · Signed March 30, 2022
Reason: Quality of Care
Reason: Quality of Care