Inspection Reports for Delaware Oaks Center for Rehabilitation and Nursing
1205 Delaware Avenue, NY, 14209
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Inspection Report
Complaint Investigation
Deficiencies: 36
Mar 26, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and enforcement actions from 2021 to 2025 with deficiency and citation history.
Findings
Across multiple complaint surveys from 2021 to 2025, the facility received numerous citations primarily at Level 2 severity related to quality of care, physical environment, and life safety code issues. Most deficiencies were corrected within months. Enforcement actions include fines totaling $40,000 for multiple deficiencies.
Complaint Details
Facility received 19 complaints from November 1, 2021 to October 31, 2025, with 16 complaint-related on-site inspections and 23 complaint-related citations during this period.
Severity Breakdown
Level 0: 3
Level 1: 4
Level 2: 38
Level 3: 1
Deficiencies (36)
| Description | Severity |
|---|---|
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Increase/prevent decrease in rom/mobility: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Maintains effective pest control program: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Physical environment: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Resident allergies, preferences, substitutes: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Right to be free from physical restraints: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Building construction type and height: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Ep program patient population: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
| Ep testing requirements: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Gas equipment - cylinder and container storag: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from unnec psychotropic meds/prn use: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident call system: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Standards of construction for new nh: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Alcohol based hand rub dispenser (abhr): Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Doors with self-closing devices: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Egress doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Elevators: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Fire alarm system - out of service: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - out of service: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Essential equipment, safe operating condition: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Roles under a waiver declared by secretary: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
Report Facts
Inspections on page: 13
Total citations: 30
Total complaints: 19
Total complaint-related citations: 23
Total fines: 40000
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