The most recent inspection on August 29, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to abuse prevention, resident protection, and premises safety, with some issues involving physician orders and pharmacy services. Complaint investigations were mostly unsubstantiated, though a June 17, 2025, investigation did identify deficiencies involving abuse and related care processes. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record suggests some improvement over time, with recent inspections showing fewer or no deficiencies compared to earlier reports.
Deficiencies (last 3 years)
Deficiencies (over 3 years)8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Investigation of numerous complaints resulting in four deficiencies related to physician orders, abuse prevention, pharmacy services, and resident abuse.
Findings
Investigation of numerous complaints resulting in four deficiencies related to physician orders, abuse prevention, pharmacy services, and resident abuse.
Deficiencies (4)
Description
R9-10-403.C — Failure to ensure physician orders were followed as written
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
§483.45 — Failure to provide pharmacy services as ordered
R9-10-410.B — Failure to ensure residents were not subjected to abuse
State compliance survey with ten deficiencies including abuse prevention, assessments, care plans, accident hazards, dialysis monitoring, and premises safety.
Findings
State compliance survey with ten deficiencies including abuse prevention, assessments, care plans, accident hazards, dialysis monitoring, and premises safety.
Deficiencies (10)
Description
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
§483.20(c) — Failure to complete quarterly resident assessments
§483.21(b)(3) — Failure to develop and implement comprehensive care plans
§483.25(d) — Failure to maintain resident environment free of accident hazards
§483.25(l) — Failure to ensure safe dialysis monitoring
R9-10-410.B — Failure to ensure residents were not subjected to abuse
R9-R9-10-414.A — Failure to ensure registered nurse review of assessments
R9-10-414.B — Failure to ensure nursing care plans are provided
R9-10-417 — Failure to ensure dialysis services are properly authorized and monitored
R9-10-425.A — Failure to maintain premises and equipment free from hazards
Inspection Report Life SafetyCapacity: 230Deficiencies: 4Mar 25, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012 with four deficiencies related to emergency preparedness, egress doors, corridor doors, and HVAC maintenance.
Findings
Recertification survey for Medicare under Life Safety Code 2012 with four deficiencies related to emergency preparedness, egress doors, corridor doors, and HVAC maintenance.
Deficiencies (4)
Description
[(a) Emergency Plan — Failure to maintain and update emergency preparedness plan
Egress Doors — Failure to maintain proper locking mechanisms on exit doors
Corridor - Doors — Failure to maintain corridor doors to prevent smoke and heat transfer
HVAC — Failure to inspect and maintain fire/smoke dampers and fusible links