Inspection Report — Feb 5, 2024
Complaint Investigation
Citations: 15
Date: Feb 5, 2024
Visit Reason
State-compiled facility profile showing 7 inspections from 2022 to 2026 with deficiency and complaint history.
Complaint Details
The state logged 207 complaints about this facility; 13 led to on-site inspections. Two citations resulted from those complaints.
Findings
Across 7 inspections, 5 had no citations while 2 inspections resulted in 15 citations total, all corrected with no actual harm. The facility had 207 complaints with 13 on-site inspections and no formal enforcement actions.
Citations (15)
Standard Health Citation — quality of care: Accounting And Records Of Personal Funds deficiency noted.
Standard Health Citation — quality of care: Accuracy Of Assessments deficiency noted.
Standard Health Citation — quality of care: Activities Meet Interest/needs Each Resident deficiency noted.
Standard Health Citation — quality of care: Dispose Garbage And Refuse Properly deficiency noted.
Standard Health Citation — quality of care: Infection Prevention & Control deficiency noted.
Standard Health Citation — quality of care: Menus Meet Resident Nds/prep In Adv/followed deficiency noted.
Standard Health Citation — quality of care: Notice And Conveyance Of Personal Funds deficiency noted.
Standard Health Citation — quality of care: Reporting Of Alleged Violations deficiency noted.
Standard Health Citation — quality of care: Right To Forms Of Communication W/ Privacy deficiency noted.
Standard Health Citation — quality of care: Surety Bond-security Of Personal Funds deficiency noted.
Life Safety Code Citation — NFPA requirements: Smoke Barrier Door Glazing deficiency noted.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation deficiency noted.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing deficiency noted.
Life Safety Code Citation — NFPA requirements: Stairways And Smokeproof Enclosures deficiency noted.
Standard Health Citation — quality of care: Reporting Of Alleged Violations deficiency noted.
Report Facts
Inspections on page: 7
Total violations/deficiencies cited: 15
Inspections with violations: 2
Inspections without violations: 5
Total complaints: 207
On-site complaint inspections: 13
Citations from complaints: 2
Number of enforcement actions: 0
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