Inspection Report
Deficiencies: 18
Jan 30, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2022 to 2024 with complaint history, citations, and enforcement information.
Findings
Across all inspections, the facility received multiple Level 2 deficiencies primarily related to quality of care and life safety code issues, with no actual harm or immediate jeopardy noted. All deficiencies from the December 2023 Certification Survey were corrected by February 2024.
Complaint Details
Facility received 5 complaints from November 1, 2021 to October 31, 2025, with 23 complaint-related on-site inspections and 2 complaint-related citations during this period.
Severity Breakdown
Level 2: 17
Level 1: 1
Deficiencies (18)
| Description | Severity |
|---|---|
| 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 |
| Develop/implement abuse/neglect policies: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Essential equipment, safe operating condition: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Increase/prevent decrease in rom/mobility: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Infection preventionist qualifications/role: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Tube feeding mgmt/restore eating skills: 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 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Develop/implement comprehensive care plan: 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 |
| Notice requirements before transfer/discharge: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 1 |
| Permitting residents to return to facility: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Standards of construction for new existing nh: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Sprinkler system - maintenance and testing: 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: 16
Total citations: 29
Complaints: 5
Complaint-related inspections: 23
Complaint-related citations: 2
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