Inspection Reports for Home of the Good Shepherd

390 Church Street, Saratoga Springs, NY, 12866

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Inspection Report Summary

The most recent inspection on July 14, 2025, found no deficiencies. Earlier inspections showed a pattern of occasional deficiencies mainly related to resident services, environmental standards, and admission and retention standards. Prior reports cited issues such as medication management, facility maintenance, supervision, and documentation. Complaint investigations were conducted but were consistently unsubstantiated. The facility’s record appears to be improving, with recent inspections showing no violations after earlier citations.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 3.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Jul 14, 2025

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Apr 21, 2025

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No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Mar 4, 2025

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No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Feb 14, 2025

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No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Jan 3, 2025

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No violations found.

Findings
No violations found.

Inspection Report

Renewal
Capacity: 60 Deficiencies: 7 Date: Aug 7, 2024

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Seven violations related to resident services, environmental standards, and admission and retention standards.

Findings
Seven violations related to resident services, environmental standards, and admission and retention standards.

Deficiencies (7)
487.7 (f) (11) (x) — Resident services (Medication management: Storage of medications, prescribed or dated medication shall be current)
487.7 (f) (12) (ii) — Resident services (Medication management: Recording for medications including resident and physician details)
487.11 (h) (5) — Environmental standards (Residents shall not have access to storage areas used for medications, cleaning agents, bleaches, insecticides or any other poisonous, dangerous or flammable materials)
487.11 (h) (15) — Environmental standards (Night lights shall be provided and working in all hallways, stairways and bathrooms which are not private)
487.11 (k) (1-3) — Environmental standards (Maintenance of facility, building, grounds, equipment and furnishings in clean, orderly condition and good repair)
487.11 (k) (14) — Environmental standards (Smoke and fire protection equipment maintenance)
1001.7 (k) (5) — Admission and retention standards (Individualized Service Plan review and revision every six months or as needed)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: May 23, 2024

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 11, 2024

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One violation related to admission standards.

Findings
One violation related to admission standards.

Deficiencies (1)
487.4 (a) — Admission standards (Operator shall admit, retain and care for only those individuals who do not require services beyond those permitted)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jan 24, 2024

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One violation related to resident services supervision and notification in event of illness or injury.

Findings
One violation related to resident services supervision and notification in event of illness or injury.

Deficiencies (1)
487.7 (d) (6) (iii) — Resident services (Notification and documentation requirements in event of illness or injury)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Jul 13, 2023

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: May 17, 2023

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Dec 14, 2022

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One violation related to resident services emergency assistance.

Findings
One violation related to resident services emergency assistance.

Deficiencies (1)
487.7 (d) (6) (i) — Resident services (Emergency assistance requirements for residents requiring emergency help due to illness or injury)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Dec 9, 2022

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Nov 22, 2022

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Jul 28, 2022

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jun 10, 2022

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Two violations related to resident services supervision and case management services.

Findings
Two violations related to resident services supervision and case management services.

Deficiencies (2)
487.7 (d) (6) (iii) — Resident services (Notification and documentation requirements in event of illness or injury)
1001.10 (i) (5-8) — Resident services (Case management services including information/referral, coordination, monitoring changes, and maintaining personal records)

Inspection Report

Renewal
Capacity: 60 Deficiencies: 7 Date: Apr 14, 2022

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Seven violations related to department criminal history review, general provisions, resident services supervision, environmental standards, and admission and retention standards.

Findings
Seven violations related to department criminal history review, general provisions, resident services supervision, environmental standards, and admission and retention standards.

Deficiencies (7)
402.7(a)(5) — Department criminal history review (Restrictions on prospective employees with unresolved misdemeanor charges)
487.3 (b) — General provisions (Facility operation and maintenance compliance with regulations and statutes)
487.7 (d) (1) (v) — Resident services (Supervision services including surveillance to protect residents from harm)
487.11 (i) ((4) (i),( — Environmental standards (Minimum bedroom equipment including standard single bed, mattress, pillow, and prohibition of rollaway beds)
487.11 (k) (15) — Environmental standards (Annual inspection/testing of smoke detection, fire alarm, sprinkler, fire extinguishers, heating, elevators, water supply)
487.11 (k) (16) — Environmental standards (Availability of inspection certificates for buildings, grounds and equipment)
1001.7 (h) — Admission and retention standards (Medical evaluation for every prospective resident within 30 days prior to admission and annually)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Dec 31, 2021

Visit Reason
No violations found.

Findings
No violations found.

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