Inspection Report Summary
The most recent inspection on June 25, 2025, was a complaint investigation with no deficiencies cited. Earlier inspections generally showed no deficiencies, with one compliance survey in January 2023 noting a single issue related to personnel record maintenance and a recertification survey in May 2024 identifying deficiencies in emergency preparedness and fire safety measures. Complaint investigations throughout the period were consistently unsubstantiated, with no enforcement actions or fines listed in the available reports. The main themes of deficiencies involved documentation and safety systems, but these issues did not recur in later inspections. The facility’s inspection history suggests improvement over time, with recent surveys showing no cited deficiencies.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| Emergency preparedness policies and procedures not developed and implemented |
| Multiple Occupancies - Construction Type — inadequate fire protection and separation |
| Portable Fire Extinguishers — failure to provide extinguisher near generator |
| Subdivision of Building Spaces - Smoke Barrier Construction — failure to fill penetrations in smoke barriers |
| Description |
|---|
| R9-10-406.F — Personnel record maintenance |
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