Deficiencies per Year
24
18
12
6
0
Severe
High
Inspection Report
Complaint Investigation
Deficiencies: 23
Sep 12, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2021 to 2025 with deficiency and enforcement history.
Findings
Across multiple complaint surveys from 2021 to 2025, the facility was cited for various standard health and life safety deficiencies, mostly Level 2 severity, with no citations related to actual harm. Several deficiencies were corrected following inspections. Enforcement actions include multiple stipulations and fines related to quality of care and multiple deficiencies.
Complaint Details
Facility received 10 complaints from November 1, 2021 to October 31, 2025, with 9 complaint-related on-site inspections and 3 complaint-related citations during this period.
Severity Breakdown
Level 2: 22
Level 1: 1
Deficiencies (23)
| Description | Severity |
|---|---|
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: 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 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Nutrition/hydration status maintenance: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Nutritive value/appear, palatable/prefer temp: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Qrtly assessment at least every 3 months: Standard Health Inspection Citation pertaining to quality of care. | Level 1 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident rights/exercise of rights: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Services provided meet professional standards: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Use of outside resources: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| ADL care provided for dependent residents: 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 |
| Influenza and pneumococcal immunizations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Investigate/prevent/correct alleged violation: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Corridors - construction of walls: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Elevators: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Hazardous areas - enclosure: 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 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Notify of changes (injury/decline/room, etc. ): Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
Report Facts
Inspections on page: 4
Total citations: 14
Total complaints: 10
Complaint-related inspections: 9
Complaint-related citations: 10
Total fines: 48000
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