Citations Summary
Feb 2022 – Jan 20266 Inspections Conducted
3
No citations found
50% of all inspections
3
Resulted in citations
50% of all inspections
25 Total Citations — state avg: 23
Issued across those 3 inspections
18Standard Health
7Life Safety Code
Severity of Citations
How serious were those 25 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Assistive Devices - Eating Equipment/utensils
Standard Health Citation — quality of care
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Abuse And Neglect
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
Investigate/prevent/correct Alleged Violation
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
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Required Notices And Contact Information
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
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
Treatment/service For Dementia
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Egress Doors
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Life Safety Code Citations
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
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 76.5 complaints per 100 beds vs. a statewide rate of 55.0. 9 citations resulted from those complaints (5.9 per 100 beds vs. 3.0 statewide).
Total Complaints
117
55,221 statewide
Per 100 Occupied Beds
76.5
55.0 state avg
On-Site Inspections
19
8,103 statewide
Citations Issued
9
5.9 per 100 beds · avg 3.0
Facility-Reported Incidents
62%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 8 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 26 |
| Resident Rights | 10 |
| Total | 49 |
Enforcement & Fines
Feb 2016 – Jan 20261 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
March 30, 2023
$10,000
Stipulation & Order #NH-23-100 · Signed October 26, 2023
Reason: Quality of Care
Reason: Quality of Care