Citations Summary
Feb 2022 – Jan 20267 Inspections Conducted
4
No citations found
57% of all inspections
3
Resulted in citations
43% of all inspections
21 Total Citations — state avg: 23
Issued across those 3 inspections
19Standard Health
2Life Safety Code
Severity of Citations
How serious were those 21 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Administration
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Use Of Outside Resources
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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 2026Below state average. This facility received 23.8 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (0.9 per 100 beds vs. 3.0 statewide).
Total Complaints
75
55,221 statewide
Per 100 Occupied Beds
23.8
55.0 state avg
On-Site Inspections
16
8,103 statewide
Citations Issued
3
0.9 per 100 beds · avg 3.0
Facility-Reported Incidents
64%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 13 |
| Resident Rights | 3 |
| Total | 17 |
Enforcement & Fines
Feb 2016 – Jan 20263 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 5, 2021
$4,000
Stipulation & Order #NH-22-012 · Signed December 20, 2021
Reason: Quality of Care
Reason: Quality of Care
February 14, 2019
$10,000
Stipulation & Order #NH-19-022 · Signed June 11, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
October 16, 2018
$10,000
Stipulation & Order #NH-19-008 · Signed January 9, 2019
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies