Inspection Report Summary
The most recent inspection on September 18, 2025, had no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to abuse prevention, resident rights, and some safety issues, with several complaint investigations resulting in citations in these areas. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. Most complaint investigations were unsubstantiated, with only a few substantiated cases involving abuse prevention. The trend suggests improvement over time, as recent inspections have been free of deficiencies following a period of cited issues.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| Description |
|---|
| R9-10-403.F — Abuse, neglect or exploitation reporting |
| R9-10-403.F — Abuse, neglect or exploitation reporting |
| §483.12 Freedom from Abuse, Neglect, and Exploitation — resident rights to be free from abuse and neglect |
| §483.12(b) — Facility policies and procedures to prevent abuse, neglect, and exploitation |
| §483.12(c) — Response to allegations of abuse, neglect, exploitation, or mistreatment |
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| Description |
|---|
| §483.12 Freedom from Abuse, Neglect, and Exploitation — resident rights to be free from abuse and neglect |
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| Description |
|---|
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| Description |
|---|
| R9-10-425.A.1.b — Premises and equipment free from hazards |
| Description |
|---|
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| Description |
|---|
| Portable Fire Extinguishers — failure to provide and maintain fire extinguishers per NFPA 10 |
| Corridor Doors — failure to maintain doors protecting corridor openings |
| Smoke Barrier Construction — failure to properly fill penetrations in fire/smoke barriers |
| Electrical Systems — failure to provide emergency lighting for emergency generator |
| Electrical Systems — failure to install remote stop or kill switch for generator |
| Description |
|---|
| R9-10-410.B.3.a. Abuse — failure to protect residents from abuse |
| R9-10-410.C.5 — Resident rights to retain personal possessions |
| R9-10-412.B.7 — Director of nursing ensuring unnecessary drugs are not administered |
| Description |
|---|
| R9-10-410.B.2 — Resident treated with dignity, respect, and consideration |
| R9-10-410.C.3 — Resident rights to choose activities and schedules |
| R9-10-414.B.3 — Care plan ensuring nursing care supervision |
| Description |
|---|
| R9-10-403.H.2 — Failure to provide timely written notification of self-injury |
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