Deficiencies per Year
32
24
16
8
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 29
May 20, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and Covid-19 surveys from 2022 to 2025 with deficiency and enforcement history.
Findings
Across multiple complaint surveys and Covid-19 surveys from 2022 to 2025, the facility received numerous standard health and life safety code citations, mostly Level 2 severity, indicating deficiencies causing minor discomfort with potential for more than minimal harm. All deficiencies were corrected as of the dates noted.
Complaint Details
Facility received 14 complaints from November 1, 2021 to October 31, 2025, with 11 complaint-related on-site inspections and 12 complaint-related citations during this period.
Severity Breakdown
Level 2: 28
Level 0: 3
Deficiencies (29)
| Description | Severity |
|---|---|
| Covid-19 immunization: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| General requirements: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Infection prevention & control: 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 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Required in-service training for nurse aides: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Sufficient nursing staff: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Gas equipment - cylinder and container storag: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Standards of construction for new existing nh: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 0 |
| Bowel/bladder incontinence, catheter, uti: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident's care supervised by a physician: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Accuracy of assessments: 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 |
| Increase/prevent decrease in rom/mobility: 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 |
| Reporting of alleged violations: 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 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Portable fire extinguishers: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - installation: 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 |
Report Facts
Inspections on page: 7
Total citations: 19
Complaint-related inspections: 11
Complaint-related citations: 12
Number of complaints: 14
Fine amount: 2000
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