Inspection Report Summary
The most recent inspections on April 3, 2025, included multiple complaint surveys and investigations with no deficiencies cited. Earlier reports showed a pattern of deficiencies mainly related to care plans, accident and fall prevention, premises safety, and abuse reporting and prevention. Complaint investigations were generally unsubstantiated, with no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Prior inspections noted issues with medication administration, emergency preparedness, and documentation as well. The facility’s recent clean inspections suggest improvement compared to earlier findings.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| R9-10-414.B — Care plan and nursing care institution requirements |
| Description |
|---|
| R9-10-414.B — Care plan and nursing care institution requirements |
| Description |
|---|
| §483.25(d) — Accident and fall prevention |
| R9-10-425.A — Nursing care institution premises and equipment safety |
| Description |
|---|
| §483.21(b)(3) — Comprehensive care plans |
| R9-10-421.B — Medication administration compliance |
| Description |
|---|
| R9-10-403.C — Policies and procedures for physical and behavioral health services |
| §483.15(c) — Transfer and discharge requirements |
| §483.15(d) — Notice of bed-hold policy and return |
| §483.21(b)(3) — Comprehensive care plans |
| §483.25(d) — Accident and fall prevention |
| R9-10-411.C — Medical record transfer documentation |
| R9-10-414.B — Care plan and nursing care institution requirements |
| R9-10-425.A — Nursing care institution premises and equipment safety |
| Description |
|---|
| [(a) Emergency Plan] — Emergency preparedness planning |
| [(c) Emergency communication plan] — Emergency preparedness communication |
| Egress Doors — Means of egress door locking requirements |
| Electrical Equipment — Power cords and extension cords safety |
| Description |
|---|
| R9-10-403.F — Abuse reporting requirements |
| §483.12 — Freedom from abuse, neglect, and exploitation |
| §483.12(c) — Response to allegations of abuse |
| R9-10-410.B — Protection from abuse |
| Description |
|---|
| §483.25(b) — Skin integrity and pressure ulcer care |
| R9-10-414.B — Care plan and nursing care institution requirements |
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