Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
April 2, 2025Standard inspection, Complaint inspection · 4 citations
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey and complaint investigation (NY00365495) from 03/28/2025 to 04/02/2025, for two (2) (Resident #55 and #59) of nine (9) residents, the facility did not ensure residents who were unable to carry out activities of daily living (basic self-care tasks people perform regularly to maintain their well-being, such as bathing and nail care) received the necessary services to maintain good grooming and personal hygiene. Specifically, Resident #55 had not received a shower in four (4) weeks, had unshaved facial hair, and unclean hair and fingernails. Resident #59 had not received a shower in three (3) weeks, was unshaven, and was observed using their hands to eat with debris underneath their fingernails. This is evidenced by the following: [...]
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 03/27/2025 to 04/02/2025, the facility did not ensure residents received care in accordance with professional standards of practice for 1 (Residents #55) of 21 residents reviewed. Specifically, Resident #55 had edema (swelling in the legs) to both legs and did not receive compression therapy per physician order and their comprehensive care plan did not include goals and interventions related to the resident's diagnosis of diabetes, chronic kidney disease, or edema. This is evidenced by the following: 1. Resident #55 had diagnoses that included chronic kidney disease (a gradual loss of kidney function that can cause swelling in the feet and legs), hypertension (high blood pressure), and diabetes. [...]
- D
Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interviews and record review conducted during the Recertification Survey from 03/27/2025 to 04/02/2025, for one (1)(Resident #55) of three (3) residents reviewed the facility did not provide proper treatment and assistive devices to maintain vision. Specifically, the facility did not ensure Resident #55 was seen by the facility medical provider in a timely manner after reporting changes in vision, did not make an appointment with the resident's eye doctor per medical provider recommendation, and did not ensure the resident made it to a scheduled eye doctor appointment. This is evidenced by the following: The facility policy Optometry and Eye Care dated 06/18/2018 included eye examinations and other consultant optometry services will be obtained as ordered by the attending physician. [...]
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 03/27/2025 to 04/02/2025, it was determined for one (1) (Resident #78) of seven (7) residents reviewed, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of infection. [...]
January 8, 2025Complaint inspection · 1 citation
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review conducted during an Abbreviated Survey (NY00340497) for one (Resident #6) of three residents reviewed, the facility did not ensure adequate supervision and monitoring devices were in place to prevent a resident from elopement (when a resident leaves the facility without supervision creating a potential threat to their health and safety). Specifically, Resident #6 was moderately impaired of cognitive function with a history of wandering and eloped from the facility by walking out the front door. The resident was not found for 42 minutes approximately 0.3 miles away. This is evidenced by the following: The facility policy Elopement - Wandering - Missing Resident, dated 10/08/2018, documented that appropriate safety measures are put into place for residents determined to be at risk for unsafe wandering/elopement. [...]
July 13, 2023Standard inspection · 2 citations
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey from [DATE] to [DATE], it was determined that for three of three residential units the facility did not ensure that drugs and biologicals were securely stored. Specifically, multiple medications were observed stored in an unlocked and unsupervised charting room. This is evidenced by the following: The facility policy Medication Rooms on Nursing Units dated [DATE], included that medication rooms on the nursing units of the facility will be the areas where medications for residents are stored. The rooms will have included but not limited to adequate means for security. [...]
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record review conducted during the Recertification Survey 7/6/23 to 7/13/23, it was determined that for one (Resident #51) of three residents reviewed for accidents, the facility did not ensure that the resident's environment remained as free of accident hazards as possible. Specifically, Resident #51, who was observed to have multiple medications left on their bedside table, had not been assessed, and care planned for safe self-administration of medication. This is evidenced by the following: The facility policy Medications Administration dated modified 7/12/22 documented that a medication must never be left at bedside or be out of sight of the nurse administering the medication. The nurse must watch each resident take the medication, and ensure the medication is swallowed, unless the resident has an order for self-administration of medications. [...]
October 15, 2021Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on April 2, 2025, 2 on July 13, 2023.
Every fire safety citation3 citations
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 2, 2025 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · July 13, 2023 · Corrected (the home has a date of correction)
- D
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · July 13, 2023 · Corrected (the home has a date of correction)