Citations Summary
Feb 2022 – Jan 202625 Inspections Conducted
20
No citations found
80% of all inspections
5
Resulted in citations
20% of all inspections
57 Total Citations — state avg: 23
Issued across those 5 inspections
52Standard Health
5Life Safety Code
Severity of Citations
How serious were those 57 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Comprehensive Assessments & Timing
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Allergies, Preferences, Substitutes
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
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
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
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
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Organization And Administration
Life Safety Code Citation — NFPA requirements
Protection - Other
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
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 2026Below state average. This facility received 36.5 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (1.5 per 100 beds vs. 3.0 statewide).
Total Complaints
95
55,221 statewide
Per 100 Occupied Beds
36.5
55.0 state avg
On-Site Inspections
49
8,103 statewide
Citations Issued
4
1.5 per 100 beds · avg 3.0
Facility-Reported Incidents
21%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 2 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 7 |
| Quality of Care | 46 |
| Resident Rights | 13 |
| Total | 72 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $16,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 13, 2023
$12,000
Stipulation & Order #NH-23-110 · Signed December 6, 2023
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
December 29, 2020
$4,000
Stipulation & Order #NH-21-090 · Signed May 6, 2021
Reason: Quality of Care
Reason: Quality of Care