Deficiencies per Year
28
21
14
7
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 27
Aug 28, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2022 to 2025 with complaint investigations, citations, and enforcement history.
Findings
Across all inspections, the facility received multiple complaint-related citations primarily related to quality of care and life safety code issues, with no citations involving actual harm or immediate jeopardy. Several deficiencies were corrected as noted.
Complaint Details
21 complaints received from November 1, 2021 to October 31, 2025 with 28 complaint-related on-site inspections and 3 complaint-related citations during this period.
Severity Breakdown
Level 2: 29
Level 1: 1
Deficiencies (27)
| Description | Severity |
|---|---|
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Bowel/bladder incontinence, catheter, uti: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Pain management: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Self-determination: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Aisle, corridor, or ramp width: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Building construction type and height: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Fire drills: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Soiled linen and trash containers: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free of medication error rts 5 prcnt or more: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Posted nurse staffing information: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 1 |
| Resident rights/exercise of rights: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Right to be free from physical restraints: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Corridors - construction of walls: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Evacuation and relocation plan: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Exit signage: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Gas equipment - cylinder and container storag: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
Report Facts
Inspections on page: 23
Inspection date range: From September 1, 2022 to August 28, 2025
Total citations: 34
Complaint-related citations: 32
Number of complaints: 21
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