Citations Summary
Feb 2022 – Jan 202616 Inspections Conducted
12
No citations found
75% of all inspections
4
Resulted in citations
25% of all inspections
19 Total Citations — state avg: 23
Issued across those 4 inspections
17Standard Health
2Life Safety Code
Severity of Citations
How serious were those 19 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
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Nutrition/hydration Status Maintenance
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 2026Above state average. This facility received 70.5 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (2.6 per 100 beds vs. 3.0 statewide).
Total Complaints
165
55,221 statewide
Per 100 Occupied Beds
70.5
55.0 state avg
On-Site Inspections
16
8,103 statewide
Citations Issued
6
2.6 per 100 beds · avg 3.0
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 3 |
| Dietary Services | 3 |
| Other Services | 0 |
| Physical Environment | 8 |
| Quality of Care | 41 |
| Resident Rights | 13 |
| Total | 68 |
Enforcement & Fines
Feb 2016 – Jan 20262 enforcement actions totaling $21,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
July 29, 2021
$9,000
Stipulation & Order #NH-22-167 · Signed December 9, 2022
Reason: Quality of Care
Reason: Quality of Care
September 8, 2014
$12,000
Stipulation & Order #NH-16-150 · Signed April 25, 2016
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies