Just for reference if they are disabled or obviously mobility impaired you may need to consider what is a reasonable modification. 

Motels rarely meet these without modification.7.

I doubt that every single little repair ever made like replacing the faucets, etc. needs to be disclosed, I imagine this is limited to material repairs like major plumbing issues, structural issues, major modifications without a permit etc. 

Two key terms often misunderstood are Reasonable Accommodations and Reasonable Modifications.

There are many moving parts from local laws, construction modifications and likely higher risk of liability if nothing else based on increasing the traffic with staff, medically fragile patients and family members. 

@Bobby Andrews - The appraisal took weeks and was sent back for modifications / corrections twice by the lender, but I eventually got my target valuation without having to do any sort of dispute.

Also, you have to have written into the Option and into the Lease that the seller will allow you or your assigns to make modifications to the property and what happens if those modifications are not completed or faulty.

Consider using an addendum to address these issues.Tenant acknowledges and agrees that (1) tenant assumes responsibility and liability for any injuries or damages that may occur resulting from or caused by the furniture or the use thereof; (2) Landlord shall not be liable for any damage or injury to persons or property caused, directly or consequentially, by the furniture or use or misuse thereof; (3) tenant assumes the risk of injury or damage by any unknown furniture conditions; (4) Tenant shall properly warn any persons on the premises of any actual or potential dangers relating to the furniture; (5) no person other than the tenants and authorized occupants and guests may use the furniture; (6) the furniture may not be transferred, leased, or sold and shall remain in the premises; (7) the permissive use of the furniture is not a right granted to the tenant and may be revoked or altered at any time by Landlord; (8) Tenant shall immediately notify Landlord in writing of any actual or suspected dangerous conditions that exist or may develop as a result of the use or misuse of the furniture; (9) tenant shall not use any furniture, nor allow the same to be used, in a manner not intended by the manufacturer and in a safe manner; (10) Landlord shall not be obligated to provide, maintain or supply any other furniture to the tenant; (11) tenant shall not make any modifications or alterations to the furniture; (12) tenant shall hold Landlord harmless and indemnify the Landlord for any injuries or damages suffered to tenant, his or her guests, family, invitees, occupants and any other person present with or without the permission of the tenant, arising out of the use or misuse of the furniture;(13) tenant shall properly keep and maintain the furniture and is responsible for any damage caused to the same, including but not limited to removing stains, cleaning, and repairing; and (14) if the Landlord sells the property, Landlord has the right to remove all furniture upon and in anticipation of closing of the property.

They could negotiate, apply for a modification, or even sell on their own terms instead of losing everything.That moment made me rethink how I view foreclosure.

I am sure something like this exsists in NYS and no - you don't want to make ANY modifications to a court tested lease.We have case law in Wisconsin where landlords had to pay 6 digit numbers because their lease included what Wi law defines as 10 deadly sins - and they are not super straight forward, so even attorneys' leases got caught.