1 Report
Inspection Report — Oct 7, 2025
State
Date: Oct 7, 2025
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State-compiled facility profile showing 12 citations from 2 inspection dates in 2025 with deficiency history and enforcement actions.
Findings
The facility was cited for 12 violations across two inspection dates in 2025, including failures in fire drills, personnel records, tuberculosis screening, fire safety documentation, and emergency preparedness. One enforcement action involving an administrative penalty was also recorded.
Citations (13)
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to keep current and complete personnel records.
The facility's plan failed to include the location of a current list of the facility's resident population.
The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives.
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 keep documentation about the fire alarm system onsite at the facility.
The facility failed to inspect, test, and maintain fire sprinkler system components.
The facility failed to keep documentation about the fire sprinkler system onsite at the facility.
The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.
The facility failed to provide smoke compartmentation where required.
The facility's plan failed to document the contact information for the EMC for the area.
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.
Enforcement action (2025-06-13): The facility failed to ensure each resident was free from abuse, neglect, and exploitation.
Report Facts
Inspections on page: 2
Total citations: 12
Enforcement actions: 1
Total fines: 3000
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