Inspection Report Summary
The most recent inspection on May 9, 2025, found that the facility had corrected previously identified deficiencies based on an acceptable Plan of Correction. The prior annual inspection on April 2, 2025, cited multiple deficiencies related to Life Safety Code compliance, including emergency lighting testing, fire drills, smoke barrier integrity, kitchen hood maintenance, electrical safety, food safety, and infection prevention and control. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. There were no complaint investigations reported in the available data. The facility showed improvement by addressing the issues noted in the April inspection during the follow-up survey in May.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Follow-UpInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Facilities Director | Named in multiple findings including emergency lighting, exit signage, kitchen hood maintenance, smoke barrier penetrations, PTAC wiring, and fire door inspections. | |
| Maintenance Director | Named in findings related to emergency lighting, kitchen hood inspections, smoke barrier penetrations, and fire door inspections. | |
| Food and Beverage Director | Named in food safety deficiencies including improper food temperature monitoring and hand hygiene. | |
| Administrator | Named in multiple interviews verifying findings and overseeing corrective actions. | |
| Director of Nursing | Named in infection prevention and control deficiencies and corrective actions. | |
| Infection Preventionist Nurse | Named in infection control deficiencies and staff training. | |
| Minimum Data Set Nurse | Named in infection control deficiencies and order reviews. |
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