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Inspection Reports for The Cloisters

171 North Maple Street, Warsaw, NY, 14569

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Inspection Report Summary

The most recent inspection on October 31, 2024, found no deficiencies during a complaint survey. Earlier inspections showed a pattern of deficiencies mainly related to resident services, operating certificates, personnel, and records management. Prior reports noted multiple issues with admission standards, environmental standards, food service, and disaster planning as well. Complaint investigations were unsubstantiated and did not result in enforcement actions or fines, which were not listed in the available reports. The trend suggests improvement over time, with the most recent survey showing no violations after several reports with citations.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

37% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2023
2024
Unclassified
State average

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Oct 31, 2024
Visit Reason
No violations found during this complaint survey.
Findings
No violations found during this complaint survey.

Inspection Report

Renewal
Capacity: 60 Deficiencies: 10 Date: May 17, 2024
Visit Reason
Ten violations found related to operating certificates, admission standards, resident services, personnel, environmental standards, disaster planning, and records management.
Findings
Ten violations found related to operating certificates, admission standards, resident services, personnel, environmental standards, disaster planning, and records management.
Deficiencies (10)
485.5 (f) — Operating certificates
487.4 (h)(1) — Admission standards
487.7 (f) (5) — Resident services
487.7 (f) (11) (iii) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services
487.8 (e) (1) — Food service
487.9 (a) (3) — Personnel
487.11 (a) — Environmental standards
487.11 (k) (13) — Environmental standards
487.12 (d) — Disaster and emergency planning

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 9 Date: May 31, 2023
Visit Reason
Nine violations found related to operating certificates, admission standards, resident services, personnel, and records management.
Findings
Nine violations found related to operating certificates, admission standards, resident services, personnel, and records management.
Deficiencies (9)
485.5 (f) — Operating certificates
487.4 (a) — Admission standards
487.7 (d) (1) (i) — Resident services
487.7 (d) (6) (iii) — Resident services
487.7 (d) (11) — Resident services
487.7 (g) (1) (ii-xiv) — Resident services
487.9 (c) (4) — Personnel
487.10 (c) (1-3) — Records and reports
487.10 (d) (1-2) — Records and reports

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jan 9, 2023
Visit Reason
One violation found related to resident services case management.
Findings
One violation found related to resident services case management.
Deficiencies (1)
487.7 (g) (1) (ii-xiv) — Resident services

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Oct 3, 2021
Visit Reason
One violation found related to records and reports.
Findings
One violation found related to records and reports.
Deficiencies (1)
485.11 (b) — Records and reports

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