Deficiencies per Year
40
30
20
10
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 40
Jan 24, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2023 to 2025 with complaint investigations, citations, enforcement actions, and deficiency history.
Findings
Across multiple inspections, the facility received numerous standard health and life safety citations primarily at Level 2 severity, with one Level 4 immediate jeopardy citation. Deficiencies were mostly isolated or patterned, many corrected subsequently. Enforcement actions include multiple stipulations and fines totaling $60,000.
Complaint Details
The facility received 8 complaints from November 1, 2021 to October 31, 2025, with 23 complaint-related on-site inspections and 7 complaint-related citations during this period.
Severity Breakdown
Level 0: 1
Level 2: 44
Level 4: 1
Deficiencies (40)
| Description | Severity |
|---|---|
| Admission physician orders for immediate care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Coordination of pasarr and assessments: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Dialysis: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Discharge planning process: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 4 |
| Free of medication error rts 5 prcnt or more: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Investigate/prevent/correct alleged violation: 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 |
| Resident/family group and response: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Corridor - doors: 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 |
| Exit signage: 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 |
| Sprinkler system - installation: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Utilities - gas and electric: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Therapeutic diet prescribed by physician: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Activities meet interest/needs each resident: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Department criminal history review: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Develop/implement comprehensive care plan: 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 |
| Grievances: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Influenza and pneumococcal immunizations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Nutrition/hydration status maintenance: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident call system: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Respiratory/tracheostomy care and suctioning: 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 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Multiple occupancies - construction type: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Subdivision of building spaces - smoke barrie: 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: 16
Total citations: 30
Total complaints: 8
Complaint-related inspections: 23
Complaint-related citations: 7
Total fines: 60000
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