1 Report
Inspection Report — Feb 3, 2026
State
Date: Feb 3, 2026
Visit Reason
State-compiled facility profile showing 27 citations across 2 inspection dates in 2025-2026 with deficiency history.
Findings
The facility was cited for 27 violations of state standards across two inspection dates, including 13 health code citations and 14 life safety code citations. All deficiencies remain pending correction with no enforcement actions recorded.
Citations (27)
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to ensure that specific on-the-job training required for attendants in this type facility was completed in the required timeframe.
The facility failed to have documented evidence that direct care staff had completed all required continuing education.
The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.
The facility failed to search the NAR and EMR annually.
The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.
The facility either failed to provide required counseling to residents who self-administer medications or failed to maintain a written counseling record.
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
The facility failed to prepare and serve food in the manner required to prevent cross- contamination.
The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.
The facility failed to have staff sign a statement indicating an employee may be criminally liable for the failure to report abuse, neglect, or exploitation.
The facility failed to ensure that all staff members received four hours of dementia-specific orientation prior to assuming any job responsibilities.
The facility failed to ensure direct care staff completed 12 hours of annual in- service education regarding Alzheimer's disease.
The facility failed to conduct required fire drills and document fire drills on the required form. (cited 2026-02-03)
The facility failed to inspect, test, and maintain fire alarm system components.
The facility failed to inspect, test, and maintain fire sprinkler system components.
The facility failed to keep floors in good condition and regularly cleaned.
The facility failed to keep walls and ceilings in good condition.
The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.
The facility failed to obtain pressure tests of gas piping in the facility.
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 test and maintain an emergency generator that provides power to emergency lighting.
The facility failed to ensure doors in the facility met the referenced codes and standards.
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 failed to include a section addressing communication 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: 27
Citation dates: 2
Enforcement actions: 0
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