Citations Summary
Jun 2022 – May 202623 Total Citations — state avg: 41
Issued in the reporting period
8Standard Health
15Life Safety Code
Severity of Citations
How serious were those 23 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 5 inspections in the current reporting window; inspectors issued 23 citations in total.
- Of those, 8 were standard health citations (quality of care) and 15 were related to the Life Safety Code (fire protection).
- The state logged 26 complaints about this facility; 5 led to on-site inspections.
- The state has 1 formal enforcement action (fines or stipulations) on record.
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
0363301N
County
Broome
Phone
(607) 757-3102
Operated By
Good Shepherd Village at Endwell, Inc. (Not for Profit)
DOH Regional Office
Central New York
Occupancy Rate
100%
Staff Flu Vaccination
88%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Cardio-pulmonary Resuscitation (cpr)
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Hospital Cah And Ltc Emergency Power
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Grievances
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Multiple Occupancies - Construction Type
Life Safety Code Citation — NFPA requirements
Policies For Evac. And Primary/alt. Comm.
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
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
Jun 2022 – May 2026Above state average. This facility received 84.7 complaints per 100 beds vs. a statewide rate of 57.4. 1 citations resulted from those complaints (3.3 per 100 beds vs. 5.3 statewide).
Total Complaints
26
55,669 statewide
Per 100 Occupied Beds
84.7
57.4 state avg
On-Site Inspections
5
7,566 statewide
Citations Issued
1
3.3 per 100 beds · avg 5.3
Facility-Reported Incidents
81%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 1 |
| Resident Rights | 2 |
| Total | 6 |
Enforcement & Fines
Jun 2016 – May 20261 enforcement action totaling $6,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 10, 2021
$6,000
Stipulation & Order #NH-22-097 · Signed May 25, 2022
Reason: Quality of Care
Reason: Quality of Care