Inspection Report
Complaint Investigation
Deficiencies: 24
May 6, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2022 to 2025 with deficiency and enforcement history.
Findings
Across three complaint surveys from 2022 to 2025, the facility had multiple deficiencies primarily at Level 2 severity related to quality of care and life safety code issues, all corrected. Enforcement actions included fines totaling $18,000 for quality of care deficiencies.
Complaint Details
Facility received 26 complaints from November 1, 2021 to October 31, 2025, with 13 complaint-related on-site inspections and 4 complaint-related citations during this period.
Severity Breakdown
Level 0: 1
Level 1: 1
Level 2: 22
Deficiencies (24)
| Description | Severity |
|---|---|
| Accuracy of assessments: Standard Health Inspection Citation pertaining to quality of care. | Level 1 |
| Increase/prevent decrease in rom/mobility: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Menus meet resident nds/prep in adv/followed: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Right to participate in planning care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Routine/emergency dental srvcs in nfs: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Smoking regulations: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Baseline care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Drug regimen review, report irregular, act on: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| General requirements: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Sufficient nursing staff: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Standards of construction for new existing nh: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
Report Facts
Inspections on page: 9
Date range of inspections: From February 16, 2022 to May 6, 2025
Total citations: 20
Total complaints: 26
Complaint-related citations: 47
Complaint-related inspections: 13
Total fines: 18000
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