Name: | GROTON COMMUNITY HEALTH CARE CENTER, INC. |
Jurisdiction: | New York |
Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
Status: | Active |
Date of registration: | 30 Apr 1973 (52 years ago) |
Entity Number: | 260026 |
ZIP code: | 13073 |
County: | Tompkins |
Place of Formation: | New York |
Address: | 100 SYKES STREET, GROTON, NY, United States, 13073 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||
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GROTON COMMUNITY HEALTH CARE CENTER, INC. 403(B) PLAN | 2023 | 237300255 | 2024-09-19 | GROTON COMMUNITY HEALTH CARE CENTER , INC. | 79 | |||||||||||||||||||||||||||
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GROTON COMMUNITY HEALTH CARE CENTER, INC. 403(B) PLAN | 2022 | 237300255 | 2024-01-04 | GROTON COMMUNITY HEALTH CARE CENTER , INC. | 122 | |||||||||||||||||||||||||||
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Active participants | 72 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 5 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Number of participants with account balances as of the end of the plan year | 14 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s mailing address | 120 SYKES STREET, GROTON, NY, 13073 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
Number of participants as of the end of the plan year
Active participants | 72 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 5 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Number of participants with account balances as of the end of the plan year | 14 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 623000 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2009-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
Signature of
Role | Plan administrator |
Date | 2018-02-14 |
Name of individual signing | NASAR KHAN |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2009-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
Signature of
Role | Plan administrator |
Date | 2017-10-16 |
Name of individual signing | NASAR KHAN |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2009-01-01 |
Business code | 623000 |
Sponsor’s telephone number | 6078985876 |
Plan sponsor’s address | 120 SYKES STREET, GROTON, NY, 13073 |
Signature of
Role | Plan administrator |
Date | 2016-10-05 |
Name of individual signing | NASAR KHAN |
Name | Role | Address |
---|---|---|
GROTON COMMUNITY HEALTH CARE CENTER, INC. | Agent | 206 WEST SOUTH ST., GROTON, NY, 13073 |
Name | Role | Address |
---|---|---|
THE CORPORATION | DOS Process Agent | 100 SYKES STREET, GROTON, NY, United States, 13073 |
Filing Number | Date Filed | Type | Effective Date |
---|---|---|---|
C286238-1 | 2000-03-21 | ASSUMED NAME CORP INITIAL FILING | 2000-03-21 |
940908000281 | 1994-09-08 | CERTIFICATE OF AMENDMENT | 1994-09-08 |
A786329-6 | 1981-07-30 | CERTIFICATE OF AMENDMENT | 1981-07-30 |
A267399-12 | 1975-10-20 | CERTIFICATE OF MERGER | 1975-10-20 |
A67926-7 | 1973-04-30 | CERTIFICATE OF INCORPORATION | 1973-04-30 |
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336447388 | 0215800 | 2012-09-18 | 120 SYKES STREET, GROTON, NY, 13073 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Citation ID | 01001A |
Citaton Type | Serious |
Standard Cited | 19100133 A01 |
Issuance Date | 2012-12-12 |
Current Penalty | 2700.0 |
Initial Penalty | 3600.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 5 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.133(a)(1): Protective eye equipment was not required where there was a reasonable probability of injury that could be prevented by such equipment: a) Throughout the facility, on or about 9/18/12: Splash goggles were not provided for employees working with corrosive cleaning compounds including, but not limited to Simoniz Full Strength containing 20 % hydrochloric acid. |
Citation ID | 01001B |
Citaton Type | Serious |
Standard Cited | 19101200 H03 III |
Issuance Date | 2012-12-12 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 5 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1200(h)(3)(iii): Employee training did not include the measures employees can take to protect themselves from chemical hazards, including specific procedures the employer had implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures and personal protective equipment to be used: a) Throughout the facility, on or about 9/18/12: Information on the location and use of eyewashes was not covered for employees working with corrosive cleaning compounds including, but not limited to Simoniz Full Strength containing 20 % hydrochloric acid. |
Citation ID | 01002 |
Citaton Type | Serious |
Standard Cited | 19100212 A01 |
Issuance Date | 2012-12-12 |
Current Penalty | 2025.0 |
Initial Penalty | 2700.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 5 |
Gravity | 1 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.212(a)(1): One or more methods of machine guarding was not provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks: a) Dietary area, on or about 9/18/12: Protective guards were not placed on garbage disposal opening to protect against projectile hazards. |
Citation ID | 01003A |
Citaton Type | Serious |
Standard Cited | 19101030 C01 V |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2013-01-16 |
Current Penalty | 3375.0 |
Initial Penalty | 4500.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 20 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: a) Throughout the facility, on or about 9/18/12: The annual review of the Exposure Control Plan did not include documentation of employee input into current use of needles equipped with sharps injury protection. Abatement certification must be submitted for this item. |
Citation ID | 01003B |
Citaton Type | Serious |
Standard Cited | 19101030 D04 IV A 2 |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2013-01-16 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 20 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(d)(4)(iv)(A)(2): Contaminated laundry was not placed and/or transported in bags or containers which were labeled or color-coded in accordance with 29 CFR 1910.1030(g)(1)(i): a) Misty Meadows, !st Floor, on or about 9/18/12: Clothing contaminated with Clostridium difficile was not red bagged when removed from room and transported to laundry area. Abatement certification must be submitted for this item. |
Citation ID | 01003C |
Citaton Type | Serious |
Standard Cited | 19101030 G02 VII F |
Issuance Date | 2012-12-12 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 20 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(g)(2)(vii)(F): The bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment: a) Throughout the facility, on or about 9/18/12: Training on bloodborne pathogens did not include the proper use of safety needles with engineered sharps injury protection and how to activate the safety mechanism. |
Citation ID | 01004A |
Citaton Type | Serious |
Standard Cited | 19101030 F03 |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2013-01-16 |
Current Penalty | 3375.0 |
Initial Penalty | 4500.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 1 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation or follow-up: a) Dirty linen room, 1st floor of Groton Nursing Home, on or about 9/2/12: An employee stuck by a dirty needle found in a garbage bag was not sent immediately for a medical evaluation. The employee was sent 8 hours later at the end of the shift. Abatement certification must be submitted for this item. |
Citation ID | 01004B |
Citaton Type | Serious |
Standard Cited | 19101030 G02 VII K |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2013-01-16 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 104 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(g)(2)(vii)(K): The bloodborne pathogens training program did not contain an explanation of the procedure to follow if an exposure incident occurred, including the method of reporting the incident or the medical follow-up that would be made available: a) Throughout the facility, on or about 9/2/12: Training on procedures to follow if an exposure incident should occur was not provided to employees including, but not limited to a maintenance employee stuck by a dirty needle while removing a garbage bag. Abatement certification must be submitted for this item. |
Citation ID | 01004C |
Citaton Type | Serious |
Standard Cited | 19101030 H05 I |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2012-12-22 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 1 |
Gravity | 5 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(h)(5)(i): The sharps injury log did not contain the minimum required information listed in subitems (A)-(C): a) Throughout the facility, on or about 9/2/12: For a needlestick occurrring on 9/2/12, the sharps injury log did not include: 1) the type and brand of device involved, and 2) the name of the department or area where incident occurred. Abatement certification must be submitted for this item. |
Citation ID | 02001 |
Citaton Type | Other |
Standard Cited | 19040008 A |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2012-12-22 |
Current Penalty | 675.0 |
Initial Penalty | 900.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 1 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1904.8(a): Employee's privacy was not protected when the employee's name was entered on the OSHA 300 Log: a) Throughout the facility, on or about 9/2/12: An entry on the 2012 OSHA 300 log included the name of an employee incurring a needlestick on 9/2/12. Abatement certification must be submitted for this item. |
Citation ID | 02002 |
Citaton Type | Other |
Standard Cited | 19101030 H01 II B |
Issuance Date | 2012-12-12 |
Abatement Due Date | 2013-01-16 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2012-12-20 |
Nr Instances | 1 |
Nr Exposed | 6 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(h)(1)(ii)(B): The medical record for an employee with occupational exposure did not include a copy of the employee's hepatitis B vaccination status, including the dates of all the hepatitis B vaccinations or any medical records relative to the employee's ability to receive vacination as required by 29 CFR 1910.1030(f)(2): a) Throughout the facility, on or about 9/18/12: Record for the hepatitis B vaccine status of six employees was not available. Abatement certification must be submitted for this item. |
Inspection Type | Planned |
Scope | Complete |
Safety/Health | Safety |
Close Conference | 2001-07-17 |
Emphasis | S: NURSING HOMES, N: MMTARG |
Case Closed | 2001-08-20 |
Violation Items
Citation ID | 01001A |
Citaton Type | Serious |
Standard Cited | 19100304 A02 |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-09 |
Current Penalty | 536.25 |
Initial Penalty | 825.0 |
Nr Instances | 1 |
Nr Exposed | 3 |
Gravity | 01 |
Citation ID | 01001B |
Citaton Type | Serious |
Standard Cited | 19100305 B01 |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-09 |
Nr Instances | 2 |
Nr Exposed | 3 |
Gravity | 02 |
Citation ID | 02001 |
Citaton Type | Other |
Standard Cited | 19100147 C04 II |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-09-10 |
Nr Instances | 1 |
Nr Exposed | 3 |
Gravity | 01 |
Citation ID | 02002 |
Citaton Type | Other |
Standard Cited | 19100212 A05 |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-09 |
Nr Instances | 1 |
Nr Exposed | 1 |
Gravity | 01 |
Inspection Type | Planned |
Scope | Complete |
Safety/Health | Health |
Close Conference | 2001-07-10 |
Emphasis | S: NURSING HOMES, N: MMTARG |
Case Closed | 2001-08-20 |
Violation Items
Citation ID | 01001 |
Citaton Type | Serious |
Standard Cited | 19100133 A01 |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-08 |
Current Penalty | 372.5 |
Initial Penalty | 573.0 |
Nr Instances | 2 |
Nr Exposed | 2 |
Gravity | 01 |
Citation ID | 01002 |
Citaton Type | Serious |
Standard Cited | 19101030 D04 IIA |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-09-08 |
Current Penalty | 438.75 |
Initial Penalty | 675.0 |
Nr Instances | 1 |
Nr Exposed | 81 |
Gravity | 01 |
Citation ID | 02001 |
Citaton Type | Other |
Standard Cited | 19101030 F02 I |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-19 |
Nr Instances | 2 |
Nr Exposed | 2 |
Gravity | 01 |
Citation ID | 02002 |
Citaton Type | Other |
Standard Cited | 19101030 G02 IIA |
Issuance Date | 2001-08-06 |
Abatement Due Date | 2001-08-09 |
Nr Instances | 4 |
Nr Exposed | 4 |
Gravity | 01 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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23-7300255 | Corporation | Unconditional Exemption | 120 SYKES ST, GROTON, NY, 13073-1231 | 1974-01 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
On Publication 78 Data List | Yes |
Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
EIN | 23-7300255 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
EIN | 23-7300255 |
Tax Period | 201912 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
EIN | 23-7300255 |
Tax Period | 201812 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
EIN | 23-7300255 |
Tax Period | 201712 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
EIN | 23-7300255 |
Tax Period | 201612 |
Filing Type | E |
Return Type | 990 |
File | View File |
Date of last update: 18 Mar 2025
Sources: New York Secretary of State