Inspection Report
Complaint Investigation
Deficiencies: 19
Aug 26, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and Covid-19 surveys from 2021 to 2025 with deficiency and enforcement history.
Findings
Across all inspections, the facility received multiple Level 2 and some Level 3 deficiencies primarily related to quality of care and life safety issues, with many deficiencies corrected. Enforcement actions included fines totaling $22,000 related to quality of care violations.
Complaint Details
Facility received 6 complaints from November 1, 2021 to October 31, 2025, with 20 complaint-related inspections and 10 complaint-related citations during this period.
Severity Breakdown
Level 2: 17
Level 3: 2
Deficiencies (19)
| Description | Severity |
|---|---|
| Essential equipment, safe operating condition | Level 2 |
| Maintains effective pest control program | Level 2 |
| Safe/clean/comfortable/homelike environment | Level 2 |
| Care plan timing and revision | Level 2 |
| Free from abuse and neglect | Level 2 |
| Free of accident hazards/supervision/devices | Level 3 |
| Reporting of alleged violations | Level 2 |
| Resident records - identifiable information | Level 2 |
| Accuracy of assessments | Level 2 |
| Free from misappropriation/exploitation | Level 2 |
| Quality of care | Level 2 |
| Physical environment | Level 2 |
| Smoking regulations | Level 2 |
| Stairways and smokeproof enclosures | Level 2 |
| Reporting - national health safety network | Level 2 |
| Investigate/prevent/correct alleged violation | Level 2 |
| Free of accident hazards/supervision/devices | Level 3 |
| Free from abuse and neglect | Level 2 |
| Treatment/srvcs mental/psychoscial concerns | Level 2 |
Report Facts
Inspections on page: 13
Total citations: 27
Total fines: 22000
Number of complaints: 6
Complaint-related inspections: 20
Complaint-related citations: 10
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