Inspection Report
Complaint Investigation
Deficiencies: 7
Apr 11, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2021 through 2025 with deficiency and citation history.
Findings
Across multiple complaint surveys and inspections, the facility received a total of 35 citations including 31 standard health citations and 4 life safety code citations. Deficiencies were generally isolated or patterned with no actual harm reported and all were corrected. There have been no enforcement actions during the reporting period.
Complaint Details
The facility received 5 complaints from November 1, 2021 to October 31, 2025, with 30 complaint-related on-site inspections completed during this period. There were 8 complaint-related citations, primarily in quality of care (5) and resident rights (3).
Severity Breakdown
Level 1: 1
Level 2: 6
Deficiencies (7)
| Description | Severity |
|---|---|
| Infection prevention & control: 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 |
| Request/refuse/dscntnue trmnt;formlte adv dir: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Development of communication plan: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 1 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Hvac: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
Report Facts
Inspections on page: 14
Total citations: 35
Complaint-related citations: 8
Complaints received: 5
Complaint-related on-site inspections: 30
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