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 18 of 18 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

    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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

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

  14. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

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

  16. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

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

  17. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

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

  18. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.