Inspection Report
Complaint Investigation
Deficiencies: 38
Jun 9, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2021 to 2025 with complaint investigations, citations, enforcement actions, and deficiency history.
Findings
Across all inspections, the facility received numerous citations primarily related to quality of care and life safety code deficiencies, with most deficiencies corrected. Several deficiencies involved actual harm to residents, but no severe systemic quality of care problems were indicated.
Complaint Details
Facility received 28 complaints from November 1, 2021 to October 31, 2025, with 64 complaint-related inspections and 46 complaint-related citations during this period.
Severity Breakdown
Level 1: 1
Level 2: 38
Level 3: 4
Deficiencies (38)
| Description | Severity |
|---|---|
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Assistive devices - eating equipment/utensils: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Bowel/bladder incontinence, catheter, uti: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Discharge process: Standard Health Inspection Citation pertaining to quality of care. | Level 1 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Investigate/prevent/correct alleged violation: 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 |
| Reasonable accommodations needs/preferences: 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 |
| Resident self-admin meds-clinically approp: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Activities meet interest/needs each resident: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Department criminal history review: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident/family group and response: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Self-determination: 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 |
| License/comply w/ fed/state/locl law/prof std: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Qrtly assessment at least every 3 months: 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 |
| Respect, dignity/right to have prsnl property: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Egress doors: 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 |
| Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical equipment - testing and maintenanc: 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 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Rubbish chutes, incinerators, and laundry chu: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Aisle, corridor, or ramp width: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
Report Facts
Inspections on page: 13
Date range of inspections: From November 8, 2021 to June 9, 2025
Total citations: 76
Total complaints: 28
Complaint-related inspections: 64
Complaint-related citations: 46
Total fines: 24000
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