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 6 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
0E
0F
Potential for minimal harm
0A
1B
0C
April 16, 2026Standard inspection · 0 citations
May 6, 2024Standard inspection, Complaint inspection · 2 citations
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interviews conducted during Recertification and Abbreviated (NY00321724) survey from 04/29/2024 to 05/06/2024 , the facility did not ensure that all alleged violations involving neglect and injuries of unknown source were reported immediately but not later than 2 hours after the allegation was made to the New York State Department of Health. This was evident for 2 (Residents #62 and #70 ) of 38 total sampled residents. Specifically, 1.) On 02/22/2023, Resident #62 sustained a swelling on the forehead. The injury was not witnessed, and the source of injury could not be explained by the Resident. The injury was not reported to the New York State Department of Health. 2.) On 04/11/2024, Resident #70 had an unwitnessed fall that resulted in an acute left femoral fracture. The Resident was unable to explain the occurrence. [...]
- B
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview conducted during the Recertification Survey from 04/29/2024 to 05/06/2024, the facility did not ensure that the Minimum Data Set assessment accurately reflect the resident's status. This was evident in 3 (Resident # 16, # 63, and #65) of 38 total sampled residents. Specifically, 1.) Resident #16's Minimum Data Set assessment did not reflect the Resident being in hospice care, 2.) Resident #63's Minimum Data Set assessment did not document Resident having colostomy, and 3.) Resident #65's Minimum Data Set assessment did not document any active diagnoses.
April 21, 2022Standard inspection · 4 citations
- D
Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview conducted during the Recertification survey, the facility did not ensure that allegations of abuse were thoroughly investigated for 1 of 1 residents reviewed for Abuse in a sample of 32 (Resident #95). Specifically, Resident #95 had a left wrist fracture of unknown origin that was not investigated.
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification survey, the facility did not ensure assessments accurately reflected the resident's status for 1 of 32 sampled residents (Resident # 126). Specifically, the Minimum Data Set 3.0 (MDS) assessment for Resident #126 did not document the use of a wander/elopement alarm.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interviews conducted during the Recertification survey, the facility did not ensure residents were involved in developing their comprehensive care plan (CCP) for 1 of 32 sampled residents (Resident #20). Specifically, Resident #20 was not invited to a CCP meeting with the interdisciplinary team (IDT).
- D
Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey, the facility did not ensure residents were provided with an ongoing activities program designed to meet their choices and interests. This was evident for 1 of 2 residents reviewed out of a sample of 32 residents (Resident #21). Specifically, Resident #21 was not provided with activities of their choice, including television (TV) channels in the French Creole language.
Fire safety inspections
35 fire safety citations on file: 16 on April 16, 2026, 2 on May 6, 2024, 17 on April 21, 2022.
Every fire safety citation35 citations
- E
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Address subsistence needs for staff and patients.
E 15 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Establish policies and procedures including evacuation.
E 20 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Install proper backup exit lighting.
K 281 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Install an approved automatic sprinkler system.
K 351 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · April 16, 2026 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Have power receptacles that are properly grounded.
K 912 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · April 16, 2026 · Corrected (the home has a date of correction)
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · April 16, 2026 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · April 16, 2026 · Corrected (the home has a date of correction)
- D
Have proper power supply for life support equipment.
K 915 · April 16, 2026 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · May 6, 2024 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 6, 2024 · Corrected (the home has a date of correction)
- F
Use approved construction type or materials.
K 161 · April 21, 2022 · Corrected (the home has a date of correction)
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K 225 · April 21, 2022 · Corrected (the home has a date of correction)
- F
Install an approved automatic sprinkler system.
K 351 · April 21, 2022 · Corrected (the home has a date of correction)
- F
Have elevators that firefighters can control in the event of a fire.
K 531 · April 21, 2022 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · April 21, 2022 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · April 21, 2022 · Corrected (the home has a date of correction)
- E
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · April 21, 2022 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · April 21, 2022 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Have correct number of accessible exits for each story.
K 241 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Have an enclosure around a vertical opening shaft.
K 311 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · April 21, 2022 · Corrected (the home has a date of correction)
- D
Meet requirements for the installation and maintenance of electrical systems.
K 911 · April 21, 2022 · Corrected (the home has a date of correction)
- C
Establish staff and initial training requirements.
E 37 · April 21, 2022 · Corrected (the home has a date of correction)