Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
4
No citations found
57% of all inspections
3
Resulted in citations
43% of all inspections
17 Total Citations — state avg: 23
Issued across those 3 inspections
13Standard Health
4Life Safety Code
Severity of Citations
How serious were those 17 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
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
Right To Be Free From Chemical Restraints
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Facility Assessment
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
Resident/family Group And Response
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Life Safety Code Citations
Development Of Communication Plan
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
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 24.9 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.5 per 100 beds vs. 3.0 statewide).
Total Complaints
50
55,221 statewide
Per 100 Occupied Beds
24.9
55.0 state avg
On-Site Inspections
10
8,103 statewide
Citations Issued
3
1.5 per 100 beds · avg 3.0
Facility-Reported Incidents
62%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 3 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 8 |
| Resident Rights | 8 |
| Total | 21 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $30,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 3, 2025
$4,000
Stipulation & Order #NH-25-046 · Signed August 27, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
May 27, 2020
$26,000
Stipulation & Order #NH-20-059 · Signed October 6, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies