Inspection Report — Nov 24, 2025
Complaint Investigation
Violations: 22
Date: Nov 24, 2025
Visit Reason
State-compiled facility profile showing 16 inspections from April 2022 to March 2026 with deficiency history and enforcement status.
Complaint Details
The report includes multiple complaint surveys, with 15 of 16 inspections prompted by complaints. The most recent complaint survey on November 24, 2025 found no violations.
Findings
Across 16 inspections, 10 had no violations while 6 inspections cited a total of 29 violations. The most recent inspection on November 24, 2025 was a complaint survey with no violations found, and there were no enforcement actions during the reporting period.
Violations (22)
CFR 485.11 (b) — Records and reports: One violation cited in February 2025 with plan of correction approved.
CFR 487.4 (c) (5) — Admission standards: Violation cited in June 2024 with plan of correction approved.
CFR 487.4 (c)(11)(i) — Admission standards: Violation cited in June 2024 and September 2025 with plans of correction under review or approved.
CFR 487.8 (c) — Food service: Violation cited in June 2024 with plan of correction approved.
CFR 487.8 (d) (1-2) — Food service: Violations cited in June 2024 and September 2025 with plans of correction under review or approved.
CFR 487.8 (e) (1) — Food service: Violations cited in June 2024 and September 2025 with plans of correction under review or approved.
CFR 487.8 (e) (4) — Food service: Violation cited in September 2025 with plan of correction under review.
CFR 487.9 (a) (4) — Personnel: Violation cited in June 2024 with plan of correction approved.
CFR 487.10 (g) — Records and reports: Violations cited in June 2024 and September 2025 with plans of correction approved or under review.
CFR 487.11 (f) (17) — Environmental standards: Violation cited in September 2025 with plan of correction under review.
CFR 487.11 (h) (11) — Environmental standards: Violation cited in September 2025 with plan of correction under review.
CFR 487.11 (j) (1-3) — Environmental standards: Violation cited in September 2025 with plan of correction under review.
CFR 487.11 (k) (4) — Environmental standards: Violation cited in September 2025 with plan of correction under review.
CFR 487.12 (f) — Disaster and emergency planning: Violation cited in September 2025 with plan of correction under review.
CFR 487.5 (a) (3) (ix) — Resident protections: Violations cited in June 2023, October 2023 with plans of correction approved.
CFR 487.5 (a) (3) (xi) — Resident protections: Violation cited in September 2025 with plan of correction under review.
CFR 487.6 (b) (1) — Resident funds and valuables: Violation cited in September 2025 with plan of correction under review.
CFR 487.6 (e) — Resident funds and valuables: Violation cited in June 2023 with plan of correction approved.
CFR 487.6 (f) (1) — Resident funds and valuables: Violations cited in June 2023 and September 2025 with plans of correction approved or under review.
CFR 487.7 (d) (1) (v) — Resident services: Violation cited in December 2022 with plan of correction approved.
CFR 487.7 (d) (11) — Resident services: Violation cited in September 2025 with plan of correction under review.
CFR 485.12 (a) (1-2,4) — Personal allowances: Violation cited in September 2025 with plan of correction under review.
Report Facts
Inspections on page: 16
Total violations cited: 29
Inspections with violations: 6
Inspections with no violations: 10
Enforcement actions: 0
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