Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Certification Survey
Deficiencies: 15
Feb 12, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2023 to 2025 with deficiency and complaint history.
Findings
Across all inspections, the facility received a total of 14 citations including standard health and life safety code deficiencies, all classified as Level 2 with no actual harm or immediate jeopardy. Complaint investigations found no deficiencies or citations.
Complaint Details
No complaints were received about the facility during the reporting period from November 1, 2021 to October 31, 2025.
Severity Breakdown
Level 2: 15
Deficiencies (15)
| Description | Severity |
|---|---|
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Egress doors: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Resident records - identifiable information: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Smoking regulations: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Stairways and smokeproof enclosures: Standard Life Safety Code Citation pertaining to life safety code requirements established by the NFPA, including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
Report Facts
Inspections on page: 3
Total citations: 14
Complaint-related inspections: 4
Complaint-related citations: 0
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