Citations Summary

Jun 2022 โ€“ May 2026
11 Inspections Conducted
4
No citations found
36% of all inspections
7
Resulted in citations
64% of all inspections
44 Total Citations โ€” state avg: 41
Issued across those 7 inspections
33Standard Health
11Life Safety Code
Severity of Citations
How serious were those 44 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period
In plain language
  • Across 11 inspections in the current reporting window, 4 found no citations at all; inspectors issued 44 citations in total.
  • Of those, 33 were standard health citations (quality of care) and 11 were related to the Life Safety Code (fire protection).
  • The state logged 90 complaints about this facility; 10 led to on-site inspections.
  • The state has 3 formal enforcement actions (fines or stipulations) on record.

A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.

Provider Information

Type
Nursing Home
Operating Certificate
5907318N
County
Westchester
Phone
(914) 964-3333
Operated By
L&A Operations LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
94%
Staff Flu Vaccination
91%

Inspection Details

Surveys with Citations Only
April 14, 2026 COMPLAINT Survey 5 Health 0 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 Not yet corrected
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated Not yet corrected
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern Not yet corrected
October 17, 2025 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated December 5, 2025
August 30, 2024 CERTIFICATION/COMPLAINT Survey 11 Health 11 LSC
โ–ผ
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Covid-19 Immunization
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Influenza And Pneumococcal Immunizations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 25, 2024
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 25, 2024
Sufficient Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 8, 2024
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated October 25, 2024
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 27, 2024
Discharge From Exits
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 3, 2024
Egress Doors
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 16, 2024
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 21, 2024
Emergency Lighting
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 18, 2024
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 27, 2024
Gas Equipment - Liguid Oxygen Equipment
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 21, 2024
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 24, 2024
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 22, 2024
Smoking Regulations
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 27, 2024
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern October 23, 2024
November 28, 2023 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 19, 2024
August 14, 2023 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
November 9, 2022 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 22, 2022
September 14, 2022 COMPLAINT Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 7, 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

Jun 2022 โ€“ May 2026
Above state average. This facility received 80.0 complaints per 100 beds vs. a statewide rate of 57.4. 14 citations resulted from those complaints (12.4 per 100 beds vs. 5.3 statewide).
Total Complaints
90
55,669 statewide
Per 100 Occupied Beds
80.0
57.4 state avg
On-Site Inspections
10
7,566 statewide
Citations Issued
14
12.4 per 100 beds ยท avg 5.3
Facility-Reported Incidents
38%
55% statewide
Citations by CategoryThis Facility
Administration0
Dietary Services1
Other Services1
Physical Environment2
Quality of Care5
Resident Rights2
Total11

Enforcement & Fines

Jun 2016 โ€“ May 2026
3 enforcement actions totaling $14,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 17, 2025
$10,000
Stipulation & Order #NH-26-014 ยท Signed February 18, 2026
Reason: Quality of Care
August 30, 2024
$2,000
Stipulation & Order #NH-25-012 ยท Signed February 4, 2025
Reason: Quality of Care
August 18, 2021
$2,000
Stipulation & Order #NH-21-228 ยท Signed November 30, 2021
Reason: Quality of Care