Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 23
Mar 21, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2021 to 2024 with complaint investigations, citations, and enforcement actions.
Findings
Across all inspections, the facility received multiple Level 2 deficiencies primarily related to quality of care and life safety code issues, with no citations involving actual harm. Most deficiencies were isolated and corrected within months.
Complaint Details
18 complaints received from November 1, 2021 to October 31, 2025 with 17 complaint-related on-site inspections and 1 complaint-related citation during this period.
Severity Breakdown
Level 2: 23
Deficiencies (23)
| Description | Severity |
|---|---|
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Discharge planning process: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from unnec psychotropic meds/prn use: 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 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Parenteral/iv fluids: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Routine/emergency dental srvcs in nfs: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/devices to maintain hearing/vision: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Tube feeding mgmt/restore eating skills: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Building construction type and height: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Discharge from exits: 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 |
| Evacuation and relocation plan: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Fundamentals - building system categories: 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 |
| Interior wall and ceiling finish: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Physical environment: 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 |
| Stairways and smokeproof enclosures: 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 |
| Responsibilities of providers; required notif: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
Report Facts
Inspections on page: 9
Date range of inspections: From November 30, 2021 to March 21, 2024
Total citations: 26
Total complaints: 18
Complaint-related citations: 25
Complaint-related inspections: 17
Fine amount: 4000
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