Citations Summary

Jun 2022 โ€“ May 2026
74 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 โœ“
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 Only
July 25, 2025 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Facility Assessment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 7, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated November 7, 2025
Sufficient Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 7, 2025
January 16, 2025 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Behavioral Health Training
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern March 1, 2025
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 1, 2025
Sufficient/competent Staff-behav Health Needs
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated March 1, 2025
November 21, 2024 CERTIFICATION/COMPLAINT Survey 19 Health 10 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Baseline Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Behavioral Health Services
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Criminal History Record Check Process
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated January 20, 2025
Grievances
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2025
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 14, 2025
Medicaid/medicare Coverage/liability Notice
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Notice Requirements Before Transfer/discharge
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2025
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Nutrition/hydration Status Maintenance
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Sufficient Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 20, 2025
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 20, 2025
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 23, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 8, 2025
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 27, 2024
Fundamentals - Building System Categories
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Stairways And Smokeproof Enclosures
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern January 23, 2025
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 23, 2025
April 9, 2024 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 7, 2024
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 7, 2024
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated June 7, 2024
December 27, 2023 COMPLAINT Survey 2 Health 0 LSC
โ–ผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 25, 2024
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 25, 2024
November 2, 2023 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 12, 2024
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 12, 2024
Reporting Of Alleged Violations
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated January 12, 2024
August 25, 2023 COMPLAINT Survey 3 Health 0 LSC
โ–ผ
Standard Health Citations
Right To Be Free From Physical Restraints
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 21, 2023
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 21, 2023
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated October 21, 2023
August 2, 2023 COMPLAINT Survey 0 Health 2 LSC
โ–ผ
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern November 24, 2023
Organization And Administration
Life Safety Code Citation โ€” NFPA requirements
Level 0 ๐Ÿ‘ค Scope November 30, 2023
January 3, 2023 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
July 18, 2022 COVID19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
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 2026
Above 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 CategoryThis Facility
Administration1
Dietary Services1
Other Services2
Physical Environment2
Quality of Care6
Resident Rights6
Total18

Enforcement & Fines

Jun 2016 โ€“ May 2026