Inspection Report
Deficiencies: 23
Sep 25, 2024
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State-compiled facility profile showing 8 inspections from August 1, 2021 through July 31, 2025 with deficiency history and enforcement actions.
Findings
Across 8 inspections, the facility had a total of 23 violations with 4 inspections resulting in no violations. Deficiencies covered a range of regulatory areas including resident services, environmental standards, and personnel qualifications.
Complaint Details
Complaint surveys were conducted on January 25, 2024; February 14, 2024; March 17, 2023; June 29, 2022; and December 7, 2022 with violations noted in some complaint surveys.
Deficiencies (23)
| Description |
|---|
| 488.3 (f) (2) — General provisions (CFR Code 488.3 (f) (2)) |
| 488.7 (b) (1) (iv) — Resident services (CFR Code 488.7 (b) (1) (iv)) |
| 488.7 (d) (1)(i-iii) — Resident services (CFR Code 488.7 (d) (1)(i-iii)) |
| 488.7 (d) (2) — Resident services (CFR Code 488.7 (d) (2)) |
| 488.7 (d) (8) (i-iii) — Resident services (CFR Code 488.7 (d) (8) (i-iii)) |
| 488.8 (a) — Food service (CFR Code 488.8 (a)) |
| 488.8 (b) (4) — Food service (CFR Code 488.8 (b) (4)) |
| 488.11 (c) — Environmental standards (CFR Code 488.11 (c)) |
| 488.11 (d) (1) — Environmental standards (CFR Code 488.11 (d) (1)) |
| 488.11 (e) (3) — Environmental standards (CFR Code 488.11 (e) (3)) |
| 488.11 (e) (6) — Environmental standards (CFR Code 488.11 (e) (6)) |
| 488.11 (e) (12) — Environmental standards (CFR Code 488.11 (e) (12)) |
| 488.11 (f) (7) — Environmental standards (CFR Code 488.11 (f) (7)) |
| 488.11 (g) (4) — Environmental standards (CFR Code 488.11 (g) (4)) |
| 488.11 (g) (8) — Environmental standards (CFR Code 488.11 (g) (8)) |
| 488.12 (c)(1-10) — Disaster and emergency procedures (CFR Code 488.12 (c)(1-10)) |
| 488.12 (g) — Disaster and emergency procedures (CFR Code 488.12 (g)) |
| 488.12 (i) — Disaster and emergency procedures (CFR Code 488.12 (i)) |
| 1001.10 (a) — Resident services (CFR Code 1001.10 (a)) |
| 1001.10 (g) (1)-(2) (i-ii) — Resident services (CFR Code 1001.10 (g) (1)-(2) (i-ii)) |
| 488.5 (a) (3) (i) (a-d) — Resident protections (CFR Code 488.5 (a) (3) (i) (a-d)) |
| 488.9 (a) (1) — Personnel (CFR Code 488.9 (a) (1)) |
| 485.11 (b) — Records and reports (CFR Code 485.11 (b)) |
Report Facts
Inspections on page: 8
Total violations: 23
No-violation inspections: 4
Enforcement actions: 1
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