Inspection Report
Follow-Up
Deficiencies: 0
May 8, 2025
Visit Reason
The inspection was a Biennial Follow Up Construction Survey conducted to verify correction of previously noted deficiencies.
Findings
Deficiencies noted during the Biennial Construction Survey have been corrected and no further action is required at this time.
Inspection Report
Follow-Up
Deficiencies: 2
Apr 9, 2025
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey on April 8-9, 2025 to verify correction of previous deficiencies.
Findings
The facility failed to maintain inside temperatures at a minimum of 75 degrees Fahrenheit during cold weather, resulting in chilly conditions in resident rooms and common areas. Additionally, infection control deficiencies were found where a medication aide failed to follow proper hand hygiene and medication handling protocols during medication administration.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure inside temperatures of 75 degrees Fahrenheit were maintained for residents in resident rooms and a common area. |
| Medication aide touched pills with bare hands, failed to wash/sanitize hands before and after donning and doffing gloves, and did not follow infection control measures during medication administration. |
Report Facts
Thermostat temperatures: 75
Medication preparation times: 6
Medication preparation times: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Responsible for setting and adjusting thermostats; interviewed regarding temperature issues | |
| Regional Maintenance Director | Interviewed about thermostat settings and temperature control | |
| Administrator | Interviewed about thermostat parameters and temperature monitoring | |
| Medication Aide | MA | Observed failing to follow infection control procedures during medication administration |
| Wellness Director | WD | Interviewed regarding medication administration policies and hand hygiene |
| Interim Executive Director | ED | Interviewed regarding expectations for medication aide hand hygiene and medication handling |
Inspection Report
Annual Inspection
Census: 30
Capacity: 51
Deficiencies: 14
Jan 17, 2025
Visit Reason
Annual and follow-up survey conducted to assess compliance with state regulations for an adult care licensure facility.
Findings
The facility was found deficient in maintaining adequate heating, call bell system functionality, staffing levels, personal care and supervision, medication administration, activities programming, and restraint orders. Several residents experienced cold temperatures, call bell failures, insufficient staffing, lack of feeding assistance, lack of activities, and an unapproved use of a reclined geri-chair as a restraint. A Norovirus outbreak was reported but family and visitors were not properly notified.
Severity Breakdown
Type A2: 3
Type B: 2
Deficiencies (14)
| Description | Severity |
|---|---|
| Facility failed to maintain inside temperatures of 75 degrees Fahrenheit in common areas during winter conditions. | — |
| Call bell system was not operational or accessible in 8 of 9 resident rooms in the special care unit, resulting in residents not receiving timely assistance. | — |
| Personal care aides were routinely assigned food service and laundry duties, detracting from resident care responsibilities. | — |
| Resident #3's FL-2 did not include a recommended level of care, resulting in admission to an inappropriate level of care. | — |
| Facility failed to provide personal care assistance including turning, repositioning, incontinent care, shaving, and nail care for multiple residents. | Type A2 |
| Facility failed to provide supervision according to assessed needs for residents with multiple falls, including a resident who sustained a broken nose from a fall. | Type A2 |
| Facility failed to ensure physician notification for Resident #1 related to decreased appetite and weight loss. | Unabated Type B |
| Water was not served to residents at breakfast in the Special Care Unit. | — |
| Resident #1's therapeutic diet was not accurately listed on the diet list available for food service staff. | — |
| Feeding assistance was not provided in an unhurried, respectful, and dignified manner for multiple residents; staff were observed feeding multiple residents simultaneously, leaving residents unattended, and feeding residents in reclined positions. | Type B |
| Resident #8 was placed in a reclined geri-chair without a physician's order for restraint; resident fell three times from the chair resulting in a nasal bone fracture. | Type B |
| Facility failed to notify residents' families and visitors of a Norovirus outbreak in the facility in a timely and effective manner. | — |
| Facility failed to ensure medications were administered as ordered for two residents, including timing of administration with meals. | — |
| Facility failed to maintain sufficient staffing in the Special Care Unit to meet residents' needs, resulting in multiple shifts with staffing shortages and residents left unsupervised. | Type A2 |
Report Facts
Medication error rate: 12
Weight loss: 14
Staffing shortage hours: 6.5
Staffing shortage hours: 3.25
Staffing shortage hours: 6.5
Staffing shortage hours: 18.6
Staffing shortage hours: 14.6
Staffing shortage hours: 9.5
Staffing shortage hours: 6
Staffing shortage hours: 3.5
Staffing shortage hours: 3.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director | Sent communication to staff about Norovirus outbreak on 01/03/25. | |
| Interim Health and Wellness Director | Responsible for scheduling, reviewing medication passes, and overseeing activities and staffing. | |
| Resident Care Coordinator | Responsible for reviewing FL-2s, communicating fall risks, and overseeing resident care. | |
| Dietary Manager | Managed therapeutic diet lists and meal service. | |
| Medication Aide | Observed administering medications and feeding residents. | |
| Personal Care Aide | Observed feeding residents and assisting with activities. |
Inspection Report
Follow-Up
Deficiencies: 7
Oct 16, 2024
Visit Reason
The Adult Care Licensure Section conducted a follow-up survey to verify correction of previous deficiencies.
Findings
The facility failed to provide personal care assistance including shaving and nail care to five residents in the special care unit. The facility also failed to ensure physician notification for a resident with multiple falls, weight loss, and behavioral issues. Additionally, the facility did not implement physician orders for TED hose for one resident, lacked therapeutic diet menus for residents with special diets, failed to maintain an accurate therapeutic diet list, and failed to clarify a medication order for a lidocaine patch. Medication administration errors were also noted for one resident related to anti-anxiety, depression, and memory loss medications.
Severity Breakdown
Type B Violation: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to provide personal care assistance including shaving and nail care to five residents in the special care unit. | — |
| Failed to ensure physician notification for a resident with multiple falls, weight loss, and behavioral issues. | Type B Violation |
| Failed to ensure physicians' orders were implemented for TED hose for one resident. | — |
| Failed to have matching therapeutic diet menus for residents with physician-ordered therapeutic diets. | — |
| Failed to maintain an accurate therapeutic diet list for guidance of food service staff. | — |
| Failed to clarify a medication order for a lidocaine patch for one resident. | — |
| Failed to ensure medications were administered as ordered for one resident related to anti-anxiety, depression, and memory loss medications. | Type B Violation |
Report Facts
Weight loss: 24
Weight measurements: 119.6
Weight measurements: 115.2
Weight measurements: 95.4
Number of residents needing shaving: 5
Number of residents with fingernail issues: 1
Dates of survey: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Wellness | Regional Director of Wellness | Interviewed regarding shaving schedules, therapeutic diet menus, medication orders, and medication audits. |
| Interim Wellness Director | Interim Wellness Director | Interviewed regarding shaving schedules, therapeutic diet menus, medication orders, and medication audits. |
| Special Care Coordinator | Special Care Coordinator | Interviewed regarding shaving schedules, resident behaviors, therapeutic diet menus, and medication orders. |
| Medication Aide | Medication Aide | Interviewed regarding shaving, resident behaviors, and medication administration. |
| Personal Care Aide | Personal Care Aide | Interviewed regarding shaving schedules and resident care. |
| Cook | Cook | Interviewed regarding meal preparation and therapeutic diet menus. |
| Pharmacist | Pharmacist | Interviewed regarding medication orders and pharmacy communication. |
Inspection Report
Follow-Up
Deficiencies: 12
Jul 11, 2024
Visit Reason
The Adult Care Licensure Section and the Durham County Department of Social Services conducted a follow-up survey from July 9th to July 11th, 2024.
Findings
The facility was found deficient in multiple areas including medication administration errors, failure to secure medication storage, inadequate supervision of residents, failure to provide therapeutic diets as ordered, failure to notify local health department of a scabies outbreak, and failure to follow infection control measures during medication administration.
Severity Breakdown
Type A2: 1
Type B: 4
Deficiencies (12)
| Description | Severity |
|---|---|
| The facility failed to ensure the storage closet in the Special Care Unit was locked and not accessible to residents. | — |
| Two medication aides administered medications without completing required training and clinical validation. | Type B |
| The facility failed to provide supervision for a resident who was observed with items in her mouth multiple times that were choking hazards. | Type B |
| The facility failed to ensure referral and follow-up to meet the acute health care needs for a resident whose primary care provider and mental health provider were not notified of incidents of aggressive behaviors toward another resident. | Type B |
| The facility failed to ensure foods were free from contamination related to unlabeled and expired food in the walk-in cooler. | — |
| The facility failed to ensure mealtime table service included a place setting consisting of a knife, fork, and spoon. | — |
| The facility failed to ensure three sampled residents received therapeutic diets as ordered related to pureed, finger foods, and mechanical soft diets. | — |
| The facility failed to provide care and services to two residents related to wandering behaviors and failure to secure a resident's room, resulting in an altercation and injury. | Type A2 |
| The facility failed to administer medications as ordered including crushing medications that should not be crushed, incorrect dosing, and failure to administer eye drops as ordered. | Type B |
| The facility failed to ensure infection control measures were implemented during medication administration, including failure to wash or sanitize hands before and after glove use and between residents. | — |
| The facility failed to ensure the medication room and medication cart were locked when not under direct supervision of a medication aide. | — |
| The facility failed to notify the local health department within 24 hours following confirmation of a communicable disease outbreak of scabies affecting 5 residents. | — |
Report Facts
Medication error rate: 15
Number of residents treated for scabies: 5
Number of medication errors: 5
Number of residents observed without full place setting: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medication Aide | Named in medication administration errors and infection control failures | |
| Interim Health and Wellness Director | Named in failure to notify local health department of scabies outbreak and medication administration oversight | |
| Regional Director of Health and Wellness | Named in oversight of medication administration and infection control | |
| Administrator | Named in multiple findings including medication administration, infection control, and outbreak notification | |
| Dietary Manager | Named in findings related to food safety and therapeutic diet failures | |
| Medication Aide (MA) | Named in failure to follow infection control and medication administration procedures | |
| Personal Care Aide (PCA) | Named in supervision and medication administration observations | |
| Licensed Health Professional Services Nurse | Named in medication aide training and validation interviews |
Inspection Report
Follow-Up
Deficiencies: 6
Jun 12, 2024
Visit Reason
This is a Biennial Follow Up Construction Survey conducted to verify correction of deficiencies identified in a prior Biennial Construction Survey.
Findings
The facility was found to have multiple outstanding deficiencies related to physical plant requirements including malfunctioning electromagnetic lock release switches, missing wanderer alarms on one exit door, unsafe and unmaintained outside premises, damaged ceilings, fire safety equipment not maintained or inspected properly, electrical safety issues, and inadequate exhaust ventilation in several areas.
Deficiencies (6)
| Description |
|---|
| Electromagnetic locks do not have functioning on/off emergency release switches at nursing stations; vendor found a bad relay and is correcting. |
| Exit doors accessible by residents are not all equipped with required sounding devices for wanderer alarms; one door from SCU to lobby lacks alarm. |
| Outside grounds not maintained in a clean and safe condition including missing soffit section allowing pests, rotting handrails, siding popping off, uneven ground creating trip hazards, and unstable plywood on 300 Hall Courtyard. |
| Ceilings not kept clean and in good repair; finishing tape loose and peeling in 100 Hall Sunroom. |
| Failure to maintain fire safety equipment in safe operating condition; cross corridor door does not close completely, holes in fire rated ceilings, broken cover plates on electrical devices, unsecured exit sign, lack of fire safety inspections, and electrical issues including non-functioning GFCI outlet and burned out light. |
| Facility did not maintain exhaust ventilation in specified spaces; exhaust fans not working in Janitor's Closet, Guest Toilet, 100 Hall Half Bath, and 400 Hall Soiled Utility. |
Report Facts
Section of exterior soffit missing: 12
Number of unsealed conduit penetrations: 3
Inspection Report
Annual Inspection
Census: 46
Capacity: 51
Deficiencies: 12
Mar 21, 2024
Visit Reason
The Adult Care Licensure Section and Department of Social Services conducted an annual and follow-up survey with a complaint investigation.
Findings
The facility had multiple deficiencies including failure to revise care plans after condition changes, failure to refer diabetic residents to podiatry, failure to implement physician's orders for medications and treatments, failure to ensure food safety and proper meal service, medication administration errors, medication storage issues, staffing shortages in the Special Care Unit, and lack of required staff training for the Special Care Unit.
Severity Breakdown
Type A2 Violation: 2
Type B Violation: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to revise care plan after change in condition for 1 of 6 sampled residents. | — |
| Failed to refer 2 of 7 diabetic residents to podiatry resulting in painful long toenails and risk of injury. | Type B Violation |
| Failed to implement physician's orders for medications and treatments for multiple residents including blood sugar monitoring, TED hose application, and dressing changes. | Type A2 Violation |
| Failed to ensure foods were free from contamination related to unsealed bags of food in the freezer. | — |
| Failed to ensure mealtime table service included a complete place setting with knife, fork, and spoon. | — |
| Failed to ensure an accurate listing of residents with physician-ordered therapeutic diets was available for food service staff. | — |
| Failed to ensure therapeutic diets were served as ordered for sampled residents with special diet orders. | — |
| Failed to clarify medication orders for 1 of 6 sampled residents regarding an order for finger stick blood sugar. | — |
| Failed to administer medications as ordered for 2 of 4 observed residents and 4 of 6 sampled residents on record review, including errors with mood medication, supplements, eye drops, and diabetes medications. | Type A2 Violation |
| Failed to ensure medication room and medication carts were locked when not under direct supervision of medication aide. | — |
| Failed to ensure minimum staffing levels were met on third shift in the Special Care Unit for 3 of 9 sampled shifts. | — |
| Failed to ensure Special Care Unit staff completed required orientation and training within the first week and six months of employment. | — |
Report Facts
Staff hours short: 8.8
Staff hours short: 9.8
Staff hours short: 12.8
Medication error rate: 7.6
Residents on SCU: 46
SCU licensed capacity: 51
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wellness Director | Wellness Director | Responsible for care plans, medication order faxing, and medication administration oversight. |
| Administrator | Administrator | Responsible for staffing, medication administration oversight, and compliance. |
| Staff A | Medication Aide | Sampled staff lacking required SCU training documentation. |
| Staff B | Personal Care Aide | Sampled staff lacking required SCU training documentation. |
| Staff C | Medication Aide | Sampled staff lacking required SCU training documentation. |
| Staff D | Personal Care Aide/Medication Aide | Sampled staff lacking required SCU training documentation. |
| Staff E | Medication Aide | Sampled staff lacking required SCU training documentation. |
| Staff F | Personal Care Aide | Sampled staff lacking required SCU training documentation. |
Inspection Report
Capacity: 51
Deficiencies: 12
Feb 1, 2024
Visit Reason
The report documents a Construction Section Biennial Survey conducted to assess compliance with physical plant requirements, building codes, and safety standards for the licensed adult care home.
Findings
Multiple deficiencies were identified related to physical plant and safety code compliance, including lack of wiring diagrams, emergency release key availability, malfunctioning emergency release switches, absence of wanderer alarms, unsafe and unmaintained outside premises, housekeeping issues, fire safety rehearsal record deficiencies, fire safety equipment malfunctions, electrical hazards, and inadequate exhaust ventilation.
Deficiencies (12)
| Description |
|---|
| No wiring diagram provided under glass adjacent to the fire alarm panel. |
| Staff responsible for evacuation did not have keys for emergency release switches on maglocked exit doors. |
| Master override switches at nursing stations did not release magnetic locks on exit doors. |
| Exit doors accessible by residents were not equipped with sounding devices for wanderer alarms despite presence of disoriented residents. |
| Outside grounds were not maintained in a clean and safe condition, including missing soffit sections, damaged handrails, and trip hazards. |
| Ceilings were not kept clean and in good repair, with peeling tape and black residue observed. |
| Means of egress or exit paths were obstructed or blocked, including an exit door that did not release without a tool until repaired. |
| Records of quarterly fire rehearsals on each shift were incomplete or missing. |
| Fire safety equipment was not maintained in safe operating condition, including doors that did not close/latch properly, unsealed cable penetrations, water damage, holes in ceilings, exposed wiring, broken cover plates, unsecured exit signs, holes in resident room doors, and lack of monthly hood suppression system inspections. |
| Items stored within 18 inches of sprinkler heads, obstructing fire suppression. |
| Electrical outlets and lighting in resident bathrooms and spa areas were non-functional or burned out. |
| Exhaust ventilation fans in janitor's closet, guest toilet, half bath, and soiled utility areas were not working or insufficient. |
Report Facts
Licensed capacity: 51
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving a resident who had a fall and was not sent to the hospital in a timely manner.
Findings
The facility failed to ensure timely medical intervention for a resident who fell and sustained a fractured left hip. Staff delayed calling emergency services until several hours after the fall, resulting in serious harm and the resident's subsequent death.
Complaint Details
The complaint investigation focused on Resident #1 who had an unwitnessed fall on 08/06/23, sustained a fractured left femur near the hip, and was not sent to the hospital in a timely manner. The delay in calling 911 until 1:04 a.m. on 08/07/23 resulted in serious harm and death. The resident passed away on 08/13/23 due to complications from the hip fracture.
Severity Breakdown
A1 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to respond immediately to a resident's fall and delayed sending the resident to the hospital, resulting in serious harm and death. | A1 Violation |
Report Facts
Dates of Visits: 8/21/23, 8/28/23, 9/11/23
Date of fall incident: 08/06/23
Date 911 called: 1:04 a.m. on 08/07/23
Date of resident death: 08/13/23
Plan of Correction Date: 08/28/23
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 5
Jul 8, 2022
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on July 7-8, 2022 to assess compliance with health care, nutrition, medication administration, infection control, and other regulatory requirements.
Findings
The facility was found deficient in multiple areas including failure to notify the primary care provider of abnormal blood sugar levels for a resident, lack of matching therapeutic diet menus for residents, inaccurate listing of residents' therapeutic diets, failure to administer medications as ordered for two residents, and failure to implement CDC and state COVID-19 infection prevention guidelines including proper mask use and resident temperature screenings.
Deficiencies (5)
| Description |
|---|
| Failed to notify the Primary Care Provider of blood sugars less than 80 and more than 400 for 1 of 5 sampled residents. |
| Failed to ensure therapeutic diet menus were available and matched physician-ordered diets for 4 of 5 sampled residents. |
| Failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets for guidance of dietary staff for 1 of 5 sampled residents. |
| Failed to administer medication as ordered for 2 of 5 sampled residents with orders for a steroid and a topical anti-inflammatory medication. |
| Failed to ensure implementation of CDC and NC DHHS COVID-19 guidance including proper use of face masks by staff and daily screening of residents for fever and symptoms. |
Report Facts
Residents with abnormal blood sugar notification failure: 1
Residents with therapeutic diet menu deficiencies: 4
Residents with inaccurate therapeutic diet listing: 1
Residents with medication administration failures: 2
Residents in Special Care Unit: 31
Residents census May 2022: 28
Residents census June 2022: 28
Residents census July 2022: 31
Missed resident temperature screenings May 2022: 236
Missed resident temperature screenings June 2022: 355
Missed resident temperature screenings July 2022: 217
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Resident Care Coordinator | Assistant Resident Care Coordinator (ARCC) | Held medication aide responsible for notifying PCP of abnormal blood sugars; involved in medication administration issues |
| Resident Care Coordinator | Resident Care Coordinator (RCC) | Responsible for ensuring PCP notification and medication administration compliance; involved in diet order communication |
| Food Service Manager | Food Service Manager (FSM) | New to facility; responsible for therapeutic diet menus and diet lists; unaware of some regulatory requirements |
| Administrator | Administrator | Responsible for overall compliance including mask use and medication administration oversight |
| Medication Aide | Medication Aide (MA) | Responsible for blood sugar checks, medication administration, and mask use; involved in notification failures |
Inspection Report
Annual Inspection
Deficiencies: 3
Apr 18, 2019
Visit Reason
The Adult Care Licensure Section conducted an annual survey and complaint investigation on April 17-18, 2019.
Findings
The facility failed to ensure that all staff had completed required North Carolina Health Care Personnel Registry checks, and the kitchen and food storage areas were not kept clean or protected from contamination, including issues with dusty and greasy residues on storage racks and ovens, and contamination concerns with the ice machine.
Complaint Details
The inspection included a complaint investigation as part of the annual survey conducted on April 17-18, 2019.
Deficiencies (3)
| Description |
|---|
| Facility failed to assure 1 of 3 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry; no documentation of registry check for Staff C. |
| Kitchen and food storage areas were not clean and protected from contamination; dusty residue on plastic racks, greasy and stained convection oven, and stained metal racks. |
| Ice machine was not clean and free from contamination; black spots on inner and upper hinges and dust on outer top. |
Report Facts
Staff sampled: 3
Shelves on plastic storage racks: 4
Metal racks in dry goods storage: 7
Date of last cleaning of convection oven: 2018
Date of last cleaning of ice machine: 2019
Inspection Report
Census: 51
Capacity: 51
Deficiencies: 11
Oct 31, 2018
Visit Reason
This report documents a Construction Section Biennial Survey conducted to assess compliance with the 1996 Homes for the Aged and Disabled Minimum Standards and Regulations, applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds, and the 1996 Edition of the North Carolina State Building Code.
Findings
Multiple deficiencies were cited related to physical plant conditions including unsecured exterior soffit panels, ceilings with stains and mildew, damaged furnishings, hazardous sliding bolt latches on resident closets, unsafe life safety equipment such as locked gates and malfunctioning manual override switches, inadequate emergency lighting, fire safety system impairments, and lack of exhaust ventilation in specified areas.
Deficiencies (11)
| Description |
|---|
| Outside premises not maintained in a clean and safe condition; unsecured aluminum soffit panels allowing pest entry. |
| Ceilings stained and with mildew; furnishings damaged and not in good repair. |
| Facility not maintained free of obstructions and hazards; sliding bolt latches on resident closets pose entrapment risk. |
| Life safety equipment not maintained in safe and operating condition; locked gates with inaccessible keys could trap residents and staff. |
| Manual override switches failed to release exit doors, endangering residents and staff. |
| Exit light over front door did not illuminate on battery test. |
| Unapproved device wedged to keep fire-rated door open, preventing proper closure. |
| Items stored within 18 inches of sprinkler heads, potentially impairing fire suppression. |
| Unsealed conduit penetration in fire-rated ceiling allowing potential spread of fire and smoke. |
| Doors not closing or latching properly, risking smoke or fire spread. |
| Exhaust ventilation not maintained in resident room baths, janitor's closet, staff and guest bathrooms. |
Report Facts
Licensed capacity: 51
Inspection Report
Capacity: 51
Deficiencies: 6
Jan 18, 2017
Visit Reason
The inspection was a Construction Section Biennial Survey to ensure the facility meets applicable physical plant requirements and building codes.
Findings
Multiple deficiencies were cited related to physical plant maintenance including malfunctioning emergency release switches on magnetic locks, non-operational emergency lighting and signage, unsecured plumbing fixtures, damaged interior door hardware, and inadequate exhaust ventilation in soiled linen areas.
Deficiencies (6)
| Description |
|---|
| Emergency release switch for magnetic locks was broken and failed to release the lock at the exterior exit door. |
| Emergency lighting failed to illuminate in multiple locations during emergency mode. |
| Exit sign adjacent to Room 205 was not illuminated. |
| Sinks in Rooms 101 and 106 were not properly secured to the walls. |
| Door hardware changed out leaving holes in doors at Rooms 308 and 403. |
| Mechanical exhaust fans were not exhausting interior air in Soiled Linen/200 Hall and Soiled Linen Closet/400 Hall. |
Report Facts
Licensed bed capacity: 51
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