Deficiencies (last 4 years)
Deficiencies (over 4 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 2, 2025
Visit Reason
One isolated Level 2 deficiency for free from abuse and neglect, corrected as of July 11, 2025.
Findings
One isolated Level 2 deficiency for free from abuse and neglect, corrected as of July 11, 2025.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 11
Date: Jun 18, 2024
Visit Reason
Multiple Level 2 deficiencies in standard health citations and life safety code citations, all corrected by August 16, 2024.
Findings
Multiple Level 2 deficiencies in standard health citations and life safety code citations, all corrected by August 16, 2024.
Deficiencies (11)
Antibiotic stewardship program
Drug regimen review, report irregular, act on
Label/store drugs and biologicals
Notify of changes (injury/decline/room, etc. )
Personal privacy/confidentiality of records
Radiology/other diagnostic services
Request/refuse/dscntnue trmnt;formlte adv dir
Emergency lighting
Fire alarm system - testing and maintenance
General requirements - other
Subdivision of building spaces - smoke barrie
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Feb 8, 2024
Visit Reason
Two Level 2 standard health deficiencies related to investigation and reporting of alleged violations, corrected by March 22, 2024.
Findings
Two Level 2 standard health deficiencies related to investigation and reporting of alleged violations, corrected by March 22, 2024.
Deficiencies (2)
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Nov 21, 2023
Visit Reason
One Level 2 deficiency for services provided meet professional standards, corrected by January 12, 2024.
Findings
One Level 2 deficiency for services provided meet professional standards, corrected by January 12, 2024.
Deficiencies (1)
Services provided meet professional standards
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Oct 3, 2022
Visit Reason
Multiple standard health and life safety code deficiencies, mostly Level 2, all corrected by November 25, 2022.
Findings
Multiple standard health and life safety code deficiencies, mostly Level 2, all corrected by November 25, 2022.
Deficiencies (9)
Bowel/bladder incontinence, catheter, uti
Criminal history record check process
Department criminal history review
Free from unnec psychotropic meds/prn use
Nutritive value/appear, palatable/prefer temp
Alcohol based hand rub dispenser (abhr)
Electrical systems - essential electric syste
Gas equipment - precautions for handling oxyg
Subdivision of building spaces - smoke barrie
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