Citations Summary
Feb 2022 – Jan 202635 Inspections Conducted
26
No citations found
74% of all inspections
9
Resulted in citations
26% of all inspections
71 Total Citations — state avg: 23
Issued across those 9 inspections
66Standard Health
5Life Safety Code
Severity of Citations
How serious were those 71 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Parenteral/iv Fluids
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
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
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
▼
Standard Health Citations
Bedrooms Assure Full Visual Privacy
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
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
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
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Choose/be Notified Of Room/roommate Change
Standard Health Citation — quality of care
Covid-19 Vaccination Of Facility Staff
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Free From Abuse And Neglect
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
Physician Visits-frequency/timeliness/alt Npp
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
Treatment/devices To Maintain Hearing/vision
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Smoking Regulations
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 2026Above state average. This facility received 73.8 complaints per 100 beds vs. a statewide rate of 55.0. 7 citations resulted from those complaints (2.3 per 100 beds vs. 3.0 statewide).
Total Complaints
222
55,221 statewide
Per 100 Occupied Beds
73.8
55.0 state avg
On-Site Inspections
56
8,103 statewide
Citations Issued
7
2.3 per 100 beds · avg 3.0
Facility-Reported Incidents
67%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 2 |
| Quality of Care | 26 |
| Resident Rights | 11 |
| Total | 44 |
Enforcement & Fines
Feb 2016 – Jan 20267 enforcement actions totaling $148,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
April 26, 2024
$4,000
Stipulation & Order #NH-24-049 · Signed August 20, 2024
Reason: Quality of Care
Reason: Quality of Care
July 8, 2022
$12,000
Stipulation & Order #NH-22-132 · Signed August 8, 2022
Reason: Quality of Care
Reason: Quality of Care
August 6, 2021
$6,000
Stipulation & Order #NH-22-017 · Signed January 18, 2022
Reason: Quality of Care
Reason: Quality of Care
May 14, 2020
$88,000
Stipulation & Order #NH-20-078 · Signed December 8, 2020
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
October 24, 2016
$14,000
Stipulation & Order #NH-18-010 · Signed March 12, 2018
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
August 27, 2015
$12,000
Stipulation & Order #NH-16-120 · Signed March 9, 2016
Reason: Quality of Care
Reason: Quality of Care
January 23, 2015
$12,000
Stipulation & Order #NH-16-157 · Signed May 4, 2016
Reason: Quality of Care
Reason: Quality of Care