Inspection Report — Apr 9, 2026
Citations: 18
Date: Apr 9, 2026
Visit Reason
State-compiled facility profile showing 18 citations across 2 inspection dates from 2025-06-16 to 2026-04-09 with deficiency history.
Findings
The facility was cited for 18 violations of state standards across two inspection dates, including failures in fire drill documentation, medication supervision, abuse prevention, and multiple life safety code deficiencies. No enforcement actions were recorded.
Citations (18)
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to search the NAR and EMR annually.
The facility failed to appropriately supervise the medication regimen of a resident who was incapable of self- administering without assistance.
The facility failed to ensure that medications were administered according to physician's orders.
The facility failed to ensure each resident was free from abuse, neglect, and exploitation.
The facility failed to conduct required fire drills and document fire drills on the required form. (cited 2026-04-09)
The facility failed to have and enforce a smoking policy.
The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.
The facility failed to inspect, test, and maintain fire sprinkler system components.
The facility failed to ensure equipment could be accessed to the facility could inspect, test, and service the equipment.
The failed to provide safe waste containers in smoking areas.
The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.
The facility failed to protect cooking operations according to the Life Safety Code.
The facility failed to provide exhaust for odor-producing areas.
The facility's plan failed to document the contact information for the EMC for the area.
The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
The facility failed to include a section addressing transportation in the emergency preparedness and response plan.
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.
Report Facts
Inspections on page: 2
Total citations: 18
Health Code citations: 5
Life Safety Code citations: 13
Enforcement actions: 0
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