Deficiencies per Year
28
21
14
7
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 27
Jan 23, 2024
Visit Reason
State-compiled facility profile showing multiple complaint surveys from 2021 to 2024 with deficiency and citation history.
Findings
Across all inspections, the facility had multiple complaint surveys with several deficiencies primarily at Level 2 severity, mostly isolated in scope, and all deficiencies were corrected by early 2024. No enforcement actions were recorded during the reporting period.
Complaint Details
Facility received 12 complaints from November 1, 2021 to October 31, 2025, with 5 complaint-related on-site inspections and 3 complaint-related citations during this period.
Severity Breakdown
Level 0: 2
Level 1: 1
Level 2: 25
Deficiencies (27)
| Description | Severity |
|---|---|
| Criminal history record check process: Standard Health Inspection Citation pertaining to quality of care. | — |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Infection control: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Notice requirements before transfer/discharge: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Personal privacy/confidentiality of records: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Pharmacy srvcs/procedures/pharmacist/records: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Posted nurse staffing information: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Required postings: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Requirements before submitting a request for: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Right to be free from physical restraints: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Right to survey results/advocate agency info: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Accuracy of assessments: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Encoding/transmitting resident assessments: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - other: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Physical environment: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Stairways and smokeproof enclosures: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
Report Facts
Inspections on page: 5
Inspections with citations: 3
Inspections with no citations: 2
Total citations: 10
Total complaints: 12
Complaints-related citations: 17
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