Inspection Report
Complaint Investigation
Deficiencies: 10
Apr 15, 2025
Visit Reason
State-compiled facility profile showing 13 inspections from August 1, 2021 through July 31, 2025 with deficiency history and enforcement actions.
Findings
Across 13 inspections, the facility had 11 violations with 8 inspections resulting in no violations. Deficiencies covered admission and retention standards, medication management, personnel, structural and environmental standards, and civil penalties. Enforcement actions include a stipulation and order issued on November 7, 2023.
Complaint Details
Multiple complaint surveys are included, with violations noted in complaint investigations on April 17, 2023; July 28, 2023; March 19, 2024; August 29, 2024; October 19, 2022; and others.
Deficiencies (10)
| Description |
|---|
| 488.4 (a) — Admission and retention standards |
| 485.5 (f) — Operating certificates |
| 488.4 (c) (5) — Admission and retention standards |
| 1001.10 (l)(1) — Medication management |
| 1001.11 (c) (2) (i-iv) — Personnel |
| 1001.13 (a) — Structural and environmental standards |
| 1001.13 (b)(1)(i-iii)(2)(3)(4)(iv-vi) — Structural and environmental standards |
| 488.11 (f) (1) — Environmental standards |
| 488.4 (c) (1) — Admission and retention standards |
| 486.5 (a) (4) (v) — Civil penalties |
Report Facts
Inspections on page: 13
Total violations: 11
No-violation inspections: 8
Loading inspection reports...
