Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Deficiencies: 10
May 22, 2024
Visit Reason
State-compiled facility profile showing 9 inspections from 2021-08-01 to 2025-07-31 with deficiency history
Findings
Across 9 inspections from August 2021 through July 2025, the facility had 12 violations with 2 inspections resulting in no violations. All plans or notices of correction for violations were approved where applicable, and no enforcement actions were recorded during this period.
Deficiencies (10)
| Description |
|---|
| 487.9 (a) (15) — Personnel: At least one individual currently qualified by a recognized organization to administer basic first aid shall be on duty and onsite at all times. |
| 487.12 (h) — Disaster and emergency planning: The operator shall arrange, at least annually, to have the local fire authorities, certified service agency or department staff observe one fire drill in which residents participate. |
| 487.8 (e) (1) — Food service: The operator shall comply with regulations relating to food service for sanitation, safety and health, as set forth by the New York State Sanitary Code and other applicable county and local health codes. |
| 487.7 (f) (5) — Resident services: For residents in need of supervision and assistance, the operator shall establish a system for staff to provide the resident with the proper dosage of medication at the designated time and observe and record that the resident takes the medication. |
| 487.7 (g) (3) — Resident services: The operator shall establish a system of recordkeeping which documents the case management needs of each resident and records case management activities undertaken to meet those needs. |
| 487.7 (f) (12) (iii) — Resident services: When a resident is assisted in taking medications, the name of the resident, the medication, the staff assisting and the date and time of assistance shall be recorded at the time of assistance. |
| 1001.10 (j) (1) — Resident services: Each resident shall be provided such personal care as is necessary to enable the resident to maintain good personal hygiene, carry out activities of daily living, maintain good health, and participate in ongoing activities as per the Individualized Service Plan. |
| 487.10 (e) (2) — Records and reports: The operator shall submit to the department a quarterly statistical information report. |
| 487.4 (k) — Admission standards: Medical and mental health evaluations shall be conducted within 30 days prior to admission and whenever a change in condition warrants, but no less than once every 12 months. |
| 1001.7 (k) (5) — Admission and retention standards: The Individualized Service Plan shall be reviewed and revised every six months and whenever ordered by the resident's physician or as frequently as necessary to reflect changing care needs. |
Report Facts
Inspections on page: 9
Total violations: 12
No-violation inspections: 2
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