Citations Summary
Jun 2022 โ May 202674 Total Citations โ state avg: 41
Issued in the reporting period
58Standard Health
16Life Safety Code
Severity of Citations
How serious were those 74 citations?
0
Minor potential harm
All corrected โ
0
No actual harm
None in this period
In plain language
- Across 11 inspections in the current reporting window, 1 found no citations at all; inspectors issued 74 citations in total.
- Of those, 58 were standard health citations (quality of care) and 16 were related to the Life Safety Code (fire protection).
- The state logged 189 complaints about this facility; 14 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
5567302N
County
Ulster
Phone
(845) 336-3500
Operated By
NCRNC, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
100%
Staff Flu Vaccination
99%
Inspection Details
Surveys with Citations Onlyโผ
Standard Health Citations
Facility Assessment
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Behavioral Health Training
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Sufficient/competent Staff-behav Health Needs
Standard Health Citation โ quality of care
โผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ quality of care
Baseline Care Plan
Standard Health Citation โ quality of care
Behavioral Health Services
Standard Health Citation โ quality of care
Criminal History Record Check Process
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ quality of care
Grievances
Standard Health Citation โ quality of care
Infection Prevention & Control
Standard Health Citation โ quality of care
Label/store Drugs And Biologicals
Standard Health Citation โ quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation โ quality of care
Notice Requirements Before Transfer/discharge
Standard Health Citation โ quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation โ quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation โ quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
Resident Rights/exercise Of Rights
Standard Health Citation โ quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ quality of care
Sufficient Nursing Staff
Standard Health Citation โ quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ quality of care
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ NFPA requirements
Fire Drills
Life Safety Code Citation โ NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation โ NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ quality of care
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ quality of care
Quality Of Care
Standard Health Citation โ quality of care
Reporting Of Alleged Violations
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Right To Be Free From Physical Restraints
Standard Health Citation โ quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ quality of care
โผ
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ NFPA requirements
Organization And Administration
Life Safety Code Citation โ NFPA requirements
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
โผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ quality of care
Severity Scale Reference
Level 0 โ No Harm Potential
Level 2 โ Minor Potential Harm
Level 3 โ Actual Harm
Level 4 โ Immediate Jeopardy
Complaints
Jun 2022 โ May 2026Above state average. This facility received 67.5 complaints per 100 beds vs. a statewide rate of 57.4. 51 citations resulted from those complaints (18.2 per 100 beds vs. 5.3 statewide).
Total Complaints
189
55,669 statewide
Per 100 Occupied Beds
67.5
57.4 state avg
On-Site Inspections
14
7,566 statewide
Citations Issued
51
18.2 per 100 beds ยท avg 5.3
Facility-Reported Incidents
49%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 6 |
| Resident Rights | 6 |
| Total | 18 |