Deficiencies per Year
20
15
10
5
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 14
Jun 9, 2025
Visit Reason
Inspection identified 13 health citations and 2 life safety code citations with deficiencies including ADL care, assistive devices, bowel/bladder care, care plans, discharge process, food safety, infection control, reporting violations, quality of care, resident rights, and life safety issues such as egress doors and sprinkler system maintenance. Most deficiencies were corrected by August or September 2025.
Findings
Inspection identified 13 health citations and 2 life safety code citations with deficiencies including ADL care, assistive devices, bowel/bladder care, care plans, discharge process, food safety, infection control, reporting violations, quality of care, resident rights, and life safety issues such as egress doors and sprinkler system maintenance. Most deficiencies were corrected by August or September 2025.
Deficiencies (14)
| Description |
|---|
| ADL care provided for dependent residents |
| Assistive devices - eating equipment/utensils |
| Bowel/bladder incontinence, catheter, uti |
| Develop/implement comprehensive care plan |
| Discharge process |
| Food procurement,store/prepare/serve-sanitary |
| Infection prevention & control |
| Investigate/prevent/correct alleged violation |
| Quality of care |
| Reasonable accommodations needs/preferences |
| Reporting of alleged violations |
| Resident rights/exercise of rights |
| Egress doors |
| Sprinkler system - maintenance and testing |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 20
Dec 13, 2023
Visit Reason
Inspection found 12 health citations and 8 life safety code citations with deficiencies in ADL care, care plans, food safety, infection control, drug labeling, licensing compliance, quarterly assessments, medication errors, resident rights, respiratory care, environment, pressure ulcer treatment, and electrical system maintenance. All deficiencies were corrected by February 2024.
Findings
Inspection found 12 health citations and 8 life safety code citations with deficiencies in ADL care, care plans, food safety, infection control, drug labeling, licensing compliance, quarterly assessments, medication errors, resident rights, respiratory care, environment, pressure ulcer treatment, and electrical system maintenance. All deficiencies were corrected by February 2024.
Deficiencies (20)
| Description |
|---|
| ADL care provided for dependent residents |
| Develop/implement comprehensive care plan |
| Food procurement,store/prepare/serve-sanitary |
| Infection control |
| Label/store drugs and biologicals |
| License/comply w/ fed/state/locl law/prof std |
| Qrtly assessment at least every 3 months |
| Residents are free of significant med errors |
| Respect, dignity/right to have prsnl property |
| Respiratory/tracheostomy care and suctioning |
| Safe/clean/comfortable/homelike environment |
| Treatment/svcs to prevent/heal pressure ulcer |
| Electrical equipment - power cords and extens |
| Electrical equipment - testing and maintenanc |
| Electrical systems - essential electric syste |
| Fire alarm system - testing and maintenance |
| Gas equipment - cylinder and container storag |
| Hazardous areas - enclosure |
| Rubbish chutes, incinerators, and laundry chu |
| Subdivision of building spaces - smoke barrie |
Inspection Report
Capacity: 60
Deficiencies: 1
Feb 21, 2023
Visit Reason
Covid-19 Survey identified a deficiency in reporting to the national health safety network with no actual harm but widespread scope. No correction noted.
Findings
Covid-19 Survey identified a deficiency in reporting to the national health safety network with no actual harm but widespread scope. No correction noted.
Deficiencies (1)
| Description |
|---|
| Reporting - national health safety network |
Inspection Report
Capacity: 60
Deficiencies: 1
Dec 19, 2022
Visit Reason
Covid-19 Survey identified a deficiency in reporting to the national health safety network with no actual harm but widespread scope. No correction noted.
Findings
Covid-19 Survey identified a deficiency in reporting to the national health safety network with no actual harm but widespread scope. No correction noted.
Deficiencies (1)
| Description |
|---|
| Reporting - national health safety network |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Nov 16, 2021
Visit Reason
Complaint Survey found deficiencies in accident hazard supervision, reporting of alleged violations, resident/family group response, self-determination, and life safety code issues including aisle width, electrical systems, fire alarm testing, and smoke barriers. All deficiencies were corrected by early 2022.
Findings
Complaint Survey found deficiencies in accident hazard supervision, reporting of alleged violations, resident/family group response, self-determination, and life safety code issues including aisle width, electrical systems, fire alarm testing, and smoke barriers. All deficiencies were corrected by early 2022.
Deficiencies (8)
| Description |
|---|
| Free of accident hazards/supervision/devices |
| Reporting of alleged violations |
| Resident/family group and response |
| Self-determination |
| Aisle, corridor, or ramp width |
| Electrical systems - essential electric syste |
| Fire alarm system - testing and maintenance |
| Subdivision of building spaces - smoke barrie |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Nov 8, 2021
Visit Reason
Complaint Survey identified deficiencies in activities meeting resident needs, department criminal history review, accident hazard supervision, reporting of alleged violations, and life safety code issues including aisle width, electrical systems, fire alarm testing, and smoke barriers. All deficiencies were corrected by early 2022.
Findings
Complaint Survey identified deficiencies in activities meeting resident needs, department criminal history review, accident hazard supervision, reporting of alleged violations, and life safety code issues including aisle width, electrical systems, fire alarm testing, and smoke barriers. All deficiencies were corrected by early 2022.
Deficiencies (8)
| Description |
|---|
| Activities meet interest/needs each resident |
| Department criminal history review |
| Free of accident hazards/supervision/devices |
| Reporting of alleged violations |
| Aisle, corridor, or ramp width |
| Electrical systems - essential electric syste |
| Fire alarm system - testing and maintenance |
| Subdivision of building spaces - smoke barrie |
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