1 Report
Inspection Report — May 28, 2025
Relicensure State
Date: May 28, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from April 2022 to March 2026 with deficiency history and enforcement actions.
Complaint Details
Two inspections were prompted by complaints, including the most recent relicensure and complaint survey on May 28, 2025.
Findings
Across 6 inspections, 5 had violations totaling 26 citations, with the most recent relicensure and complaint survey on May 28, 2025 citing 22 violations. One enforcement action is on record, and most plans of correction are under review or approved.
Violations (26)
General provisions: Regulation cited CFR 487.3 (g) (1-2) with plan/notice of correction under review.
Resident services: Regulation cited CFR 487.7 (d) (11) with plan/notice of correction under review.
Resident services: Regulation cited CFR 487.7 (f) (1-4) with plan/notice of correction under review.
Resident services: Regulation cited CFR 487.7 (f) (5) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (b) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (c) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (d) (3) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (d) (4,8,10-11) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (e) (1) with plan/notice of correction under review.
Food service: Regulation cited CFR 487.8 (e) (3) with plan/notice of correction under review.
Personnel: Regulation cited CFR 487.9 (a) (8) with plan/notice of correction under review.
Personnel: Regulation cited CFR 487.9 (a) (15) with plan/notice of correction under review.
Personnel: Regulation cited CFR 487.9 (j) (3-4) with plan/notice of correction under review.
Records and reports: Regulation cited CFR 487.10 (d) (1-2) with plan/notice of correction under review.
Records and reports: Regulation cited CFR 487.10 (g) with plan/notice of correction under review.
Environmental standards: Regulation cited CFR 487.11 (f) (12) with plan/notice of correction under review.
Environmental standards: Regulation cited CFR 487.11 (i) (6) with plan/notice of correction under review.
Environmental standards: Regulation cited CFR 487.11 (k) (4) with plan/notice of correction under review.
Environmental standards: Regulation cited CFR 487.11 (k) (8) with plan/notice of correction under review.
Disaster and emergency planning: Regulation cited CFR 487.12 (a-b) with plan/notice of correction under review.
Disaster and emergency planning: Regulation cited CFR 487.12 (i) with plan/notice of correction under review.
Admission and retention standards: Regulation cited CFR 1001.7 (k) (5) with plan/notice of correction under review.
Records and reports: Regulation cited CFR 485.11 (b) with plan/notice of correction approved.
Records and reports: Regulation cited CFR 485.11 (b) with plan/notice of correction approved.
Records and reports: Regulation cited CFR 485.11 (b) with plan/notice of correction approved.
Records and reports: Regulation cited CFR 485.11 (b) with plan/notice of correction approved.
Report Facts
Inspections on page: 6
Total violations cited: 26
Inspections with violations: 5
Inspections with no violations: 1
Enforcement actions: 1
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