All citations for Trustees of Eastern Star Hall & Home of the N Y S

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Trustees of Eastern Star Hall & Home of the N Y S

Last standard health inspection on record

November 8, 2024

Showing 1 to 25 of 43 citations

  1. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    A waiver was granted (March 4, 2025).

  3. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  5. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  6. No harm, with potential for more than minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  7. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 14, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  8. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  9. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  10. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0901, Electrical Deficiencies. Inspection of February 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 14, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  16. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 14, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2020).

  17. No harm, with potential for more than minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  18. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  19. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  20. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  22. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  23. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0925, Environmental Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  24. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  25. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.