The most recent inspection on October 23, 2024, identified four deficiencies related to emergency preparedness and fire safety, though the facility met standards based on acceptance of the plan of correction. Earlier inspections showed a mix of results, including a complaint investigation on October 15, 2024, with one deficiency involving administrator policies and procedures, and a November 6, 2023, compliance survey citing multiple deficiencies in transfer/discharge policies, personnel records, infection control, and administrator responsibilities. Complaint investigations were mostly unsubstantiated, with no substantiated complaints noted in the available reports. Enforcement actions such as fines or license suspensions were not listed in the available reports. The pattern suggests ongoing challenges with administrative and safety procedures, with some improvement following the November 2023 survey but recent issues remain.
Deficiencies (last 2 years)
Deficiencies (over 2 years)6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Recertification survey for Medicare under Life Safety Code 2012; facility met standards based on acceptance of plan of correction; four deficiencies related to emergency preparedness and fire safety.
Findings
Recertification survey for Medicare under Life Safety Code 2012; facility met standards based on acceptance of plan of correction; four deficiencies related to emergency preparedness and fire safety.
Deficiencies (3)
Description
Emergency preparedness communication plan and drills
State compliance survey with complaint investigation; nine deficiencies cited related to transfer/discharge policies, personnel records, infection control, and administrator responsibilities.
Findings
State compliance survey with complaint investigation; nine deficiencies cited related to transfer/discharge policies, personnel records, infection control, and administrator responsibilities.
Deficiencies (8)
Description
R9-10-403.C — Administrator policies and procedures
