1 Report
Inspection Report — Nov 20, 2025
State
Date: Nov 20, 2025
Visit Reason
State-compiled facility profile showing 18 citations from two inspection dates in 2025 with deficiency history.
Findings
The facility was cited for 18 violations across two inspection dates in 2025, including failures in health code compliance and multiple life safety code deficiencies. No enforcement actions were recorded.
Citations (18)
The facility failed to search the NAR and EMR annually.
The facility failed to ensure each resident was free from abuse, neglect, and exploitation.
The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.
The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.
The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.
The facility failed to keep walls and ceilings in good condition.
The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.
The facility failed to ensure doors in the facility met the referenced codes and standards.
The facility failed to provide required emergency lighting.
The facility failed to protect cooking operations according to the Life Safety Code.
The facility failed to ensure heating, ventilating and air-conditioning equipment met the referenced codes and standards.
The facility failed to have and enforce a smoking policy.
The facility failed to ensure openings between floors were protected to prevent the spread of fire and smoke from one floor to another.
The facility failed to ensure means of egress met the referenced codes and standards.
The facility failed to provide smoke compartmentation where required.
The facility failed to provide a fire sprinkler system that met the referenced codes and standards.
The facility failed to protect hazardous areas as required by the referenced codes and standards.
The facility failed to provide an approved outdoor area for the segregated unit.
Report Facts
Inspections on page: 2
Total citations: 18
Health Code citations: 2
Life Safety Code citations: 16
Enforcement actions: 0
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