During the reporting period from August 1, 2021 to July 31, 2025, the facility received a total of 35 citations. These citations were divided into 22 standard health deficiencies and 13 Life Safety Code deficiencies. The citations were issued during 9 on‑site inspections; no information is provided regarding inspections that resulted in no citations.
The inspection that generated the largest number of cited items occurred on June 30, 2023. That survey produced 19 citations in total, comprising six standard health deficiencies and thirteen Life Safety Code deficiencies. The standard health deficiencies addressed the development and implementation of comprehensive care plans, infection prevention and control, nutrition and hydration status maintenance, reporting of alleged violations, resident call system functionality, and overall safety, functionality, sanitation, and comfort of the environment. The Life Safety Code deficiencies involved cooking facilities, corridor and egress doors, electrical equipment and systems, EP testing requirements, evacuation and relocation plans, exit signage, fire alarm system testing and maintenance, hazardous area enclosures, and sprinkler system installation and maintenance.
Complaint metrics for the same period show that the facility received 149 complaints, equating to 85.8 complaints per 100 occupied beds. Seventy‑seven point zero percent of those complaints represented facility‑reported incidents, and 15 complaint‑related on‑site inspections were conducted. The facility incurred 16 complaint‑related citations, or 9.2 citations per 100 occupied beds. By category, complaint‑related deficiencies were reported as 0 in Administration, Dietary Services, Other Services, Physical Environment, and Resident Rights, with 1 deficiency in Quality of Care, resulting in a total of 1 complaint‑related citation. The total number of complaint‑related citations (1) does not equal the total number of citations (35) reported for the period.
Enforcement actions: September 1, 2015 through August 31, 2025. There have been no enforcement actions against the Operator of this facility during this reporting period.