Inspection Report Summary
The most recent inspection on May 27, 2025, found deficiencies related to corridor doors not meeting fire safety standards. Earlier inspections showed a pattern of deficiencies involving abuse prevention, infection control, care planning, medication management, and safety hazards. Complaint investigations included substantiated abuse-related citations as well as issues with policies and infection control, while most other complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges in several areas without a clear trend of consistent improvement or worsening.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a May 2025 inspection.
Census over time
| Description |
|---|
| Corridor - Doors Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke or fire |
| Description |
|---|
| R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.a. Abuse |
| Description |
|---|
| R9-10-403.C. Policies and procedures for physical health services and behavioral health services |
| §483.12 Freedom from Abuse, Neglect, and Exploitation |
| §483.80 Infection Control The facility must establish and maintain an infection prevention and control program |
| R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.a. Abuse |
| Description |
|---|
| §483.10(g)(14) Notification of Changes. Facility must notify responsible parties of changes |
| §483.25(d) Accidents. Facility must ensure resident environment is free of accident hazards |
| §483.35(b) Registered nurse services required |
| §483.45(d) Unnecessary Drugs-General. Resident's drug regimen must be free from unnecessary drugs |
| §483.45(g) Labeling of Drugs and Biologicals Drugs and biologicals must be labeled properly |
| R9-10-412.B. Director of nursing must ensure timely notification and no unnecessary drug administration |
| R9-10-421.D. Medication storage policies and procedures |
| R9-10-425.A. Nursing care institution premises and equipment must be free from hazards |
| Description |
|---|
| Corridor - Doors Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke or fire |
| Utilities - Gas and Electric Equipment must comply with NFPA 54 and electrical wiring standards |
| Description |
|---|
| §483.25(b) Skin Integrity §483.25(b)(1) Pressure ulcers prevention and care |
| §483.25(e) Incontinence care and services |
| R9-10-414.B. Care plan must ensure nursing care institution services |
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