Models for quantum absorption refrigerators serve as test beds for exploring concepts and developing methods in quantum thermodynamics. Here, we depart from the minimal, ideal design and consider a generic multilevel model for a quantum absorption refrigerator, which potentially suffers from lossy processes. Based on a full-counting statistics approach, we derive a formal cooling condition for the refrigerator, which can be feasibly evaluated analytically and numerically. We exemplify our approach on a three-level model for a quantum absorption refrigerator that suffers from different forms of non-ideality (heat leakage, competition between different cooling pathways), and examine the cooling current with different designs. This study assists in identifying the cooling window of imperfect thermal machines.