Citations Summary
Feb 2022 – Jan 20269 Inspections Conducted
5
No citations found
56% of all inspections
4
Resulted in citations
44% of all inspections
22 Total Citations — state avg: 23
Issued across those 4 inspections
18Standard Health
4Life Safety Code
Severity of Citations
How serious were those 22 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Competent Nursing Staff
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Drills
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Policies/procedures For Medical Documentation
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 43.6 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.9 per 100 beds vs. 3.0 statewide).
Total Complaints
48
55,221 statewide
Per 100 Occupied Beds
43.6
55.0 state avg
On-Site Inspections
13
8,103 statewide
Citations Issued
1
0.9 per 100 beds · avg 3.0
Facility-Reported Incidents
63%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 7 |
| Resident Rights | 2 |
| Total | 9 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $8,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
September 13, 2022
$2,000
Stipulation & Order #NH-22-168 · Signed December 5, 2022
Reason: Quality of Care
Reason: Quality of Care
June 1, 2020
$6,000
Stipulation & Order #NH-20-033 · Signed August 8, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies