Inspection Report
Complaint Investigation
Deficiencies: 14
Apr 23, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2023 to 2025 with deficiency and citation history.
Findings
Across multiple complaint surveys and inspections from 2023 to 2025, the facility received a total of 13 citations including standard health and life safety code deficiencies, mostly Level 1 and Level 2 severity, with no citations related to actual harm or immediate jeopardy. All deficiencies noted were corrected by the dates indicated.
Complaint Details
Facility received 6 complaints from November 1, 2021 to October 31, 2025, with 7 complaint-related on-site inspections and 7 complaint-related citations during this period.
Severity Breakdown
Level 1: 3
Level 2: 11
Deficiencies (14)
| Description | Severity |
|---|---|
| Dispose garbage and refuse properly — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Reporting of alleged violations — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Right to be free from physical restraints — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Right to forms of communication w/ privacy — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 1 |
| Tube feeding mgmt/restore eating skills — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Stairways and smokeproof enclosures — Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Right to be free from physical restraints — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Develop/implement comprehensive care plan — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Routine/emergency dental srvcs in nfs — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Cooking facilities — Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 1 |
| Corridor - doors — Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Electrical systems - essential electric syste — Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 1 |
| Sprinkler system - maintenance and testing — Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Reporting - national health safety network — Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
Report Facts
Inspections on page: 7
Total citations: 13
Number of complaints: 6
Complaint-related inspections: 7
Complaint-related citations: 7
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