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Deficiency Category | Inspection Date: 5/7/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 8/9/22 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 12/11/19 Complaint Reporting Period: 4/1/22 - 3/31/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in New York: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Use approved construction type or materials. | 5/7/24 | 7/29/24 | 2 - Minimal harm or potential for actual harm | Many |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 5/7/24 | 7/29/24 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
No Smoke Deficiencies were found during this inspection period. |
No Interior Finish Deficiencies were found during this inspection period. |
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in New York: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide primary/alternate means for communication. | 8/9/22 | 10/5/22 | 1 - Potential for minimal harm | Many |
Conduct testing and exercise requirements. | 8/9/22 | 10/5/22 | 1 - Potential for minimal harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Use approved construction type or materials. | 8/9/22 | 1/20/23 | 2 - Minimal harm or potential for actual harm | Many |
Meet requirements for sections of health care facilities separated by fire resistive construction. | 8/9/22 | 1/20/23 | 2 - Minimal harm or potential for actual harm | Few |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly spaced exits within rooms. | 8/9/22 | 1/20/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide at least two remote exits on each floor or fire section of the building. | 8/9/22 | 2/8/23 | 2 - Minimal harm or potential for actual harm | Some |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 8/9/22 | 9/15/22 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Install a fire alarm system that can be heard throughout the facility. | 8/9/22 | 10/4/22 | 2 - Minimal harm or potential for actual harm | Few |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | 8/9/22 | 11/7/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 8/9/22 | 11/7/22 | 2 - Minimal harm or potential for actual harm | Many |
Properly provide smoke detection systems in areas open to corridors. | 8/9/22 | 10/4/22 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 8/9/22 | 10/7/22 | 2 - Minimal harm or potential for actual harm | Some |
Have properly sized and located compartments to protect residents from smoke. | 8/9/22 | 1/20/23 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that testing and maintenance of electrical equipment is performed. | 8/9/22 | 10/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Have generator or other power source capable of supplying service within 10 seconds. | 8/9/22 | 8/11/22 | 2 - Minimal harm or potential for actual harm | Some |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | 8/9/22 | 9/28/22 | 2 - Minimal harm or potential for actual harm | Few |
Have proper power supply for life support equipment. | 8/9/22 | 1/20/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure proper usage of power strips and extension cords. | 8/9/22 | 9/15/22 | 2 - Minimal harm or potential for actual harm | Few |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in New York: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Use approved construction type or materials. | 12/11/19 | 2/5/20 | 2 - Minimal harm or potential for actual harm | Few |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 12/11/19 | 2/5/20 | 2 - Minimal harm or potential for actual harm | Some |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 12/11/19 | 2/5/20 | 2 - Minimal harm or potential for actual harm | Few |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
No Smoke Deficiencies were found during this inspection period. |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 12/11/19 | 2/5/20 | 1 - Potential for minimal harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |