Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 11
Jan 30, 2024
Visit Reason
State-compiled facility profile showing 5 inspections from 2021 to 2024 with deficiency and complaint history.
Findings
Across all inspections, the facility received multiple Level 2 deficiencies related to standard health and life safety code citations, primarily involving reporting, care planning, medication use, infection prevention, and electrical systems. All deficiencies were corrected or had no actual harm reported. There were no enforcement actions during the reporting period.
Complaint Details
The facility received 0 complaints during the reporting period from November 1, 2021 to October 31, 2025, with 7 complaint-related on-site inspections and 2 complaint-related citations pertaining to quality of care and resident rights.
Severity Breakdown
Level 2: 11
Deficiencies (11)
| Description | Severity |
|---|---|
| Reporting - national health safety network: Standard Health Inspection Citation pertaining 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 pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free from unnec psychotropic meds/prn use: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Medicaid/medicare coverage/liability notice: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements established by NFPA. | Level 2 |
Report Facts
Inspections on page: 5
Total citations: 16
Standard Health Citations: 10
Life Safety Code Citations: 6
Complaint-related inspections: 7
Complaint-related citations: 2
Loading inspection reports...
