Inspection Report Summary
Most inspections found some deficiencies, but several complaint investigations were unsubstantiated. The most recent report from March 17, 2025, cited deficiencies related to care plan adherence, food safety, dialysis services, and life safety code violations, including issues with obstructed exits, sprinkler system installation, and smoke barrier integrity. Problems with following physician orders for blood sugar monitoring and dialysis treatments were noted, along with kitchen sanitation concerns that could risk foodborne illness. No fines, license suspensions, or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges in several areas without a clear pattern of improvement or decline.
Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Mar 17, 2025
Visit Reason
Investigation of multiple complaints with no deficiencies cited.
Findings
Investigation of multiple complaints with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Feb 5, 2025
Visit Reason
Onsite complaint survey conducted with no deficiencies cited.
Findings
Onsite complaint survey conducted with no deficiencies cited.
Inspection Report
Capacity: 74
Deficiencies: 0
Jan 27, 2025
Visit Reason
Onsite survey for bed increase with no deficiencies cited.
Findings
Onsite survey for bed increase with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
Nov 18, 2024
Visit Reason
Recertification survey combined with complaint investigations; one deficiency cited related to care plan compliance.
Findings
Recertification survey combined with complaint investigations; one deficiency cited related to care plan compliance.
Deficiencies (1)
| Description |
|---|
| R9-10-414.B — Care plan compliance |
Inspection Report
Capacity: 74
Deficiencies: 3
Nov 18, 2024
Visit Reason
Recertification survey for Medicare Life Safety Code compliance; three deficiencies cited related to means of egress, sprinkler system installation, and smoke barrier construction.
Findings
Recertification survey for Medicare Life Safety Code compliance; three deficiencies cited related to means of egress, sprinkler system installation, and smoke barrier construction.
Deficiencies (3)
| Description |
|---|
| Means of Egress - General — Life safety code violation |
| Spinkler System - Installation — Life safety code violation |
| Subdivision of Building Spaces - Smoke Barrier Construction — Life safety code violation |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Jun 4, 2024
Visit Reason
Onsite complaint survey with no deficiencies cited.
Findings
Onsite complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
May 2, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Mar 21, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Feb 26, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 2
Dec 11, 2023
Visit Reason
Recertification survey combined with complaint investigations; two deficiencies cited related to food safety and premises cleanliness.
Findings
Recertification survey combined with complaint investigations; two deficiencies cited related to food safety and premises cleanliness.
Deficiencies (2)
| Description |
|---|
| §483.60(i) — Food safety requirements |
| R9-10-425.A — Premises and equipment cleanliness |
Inspection Report
Capacity: 74
Deficiencies: 0
Dec 11, 2023
Visit Reason
Recertification survey for Life Safety Code compliance with no deficiencies cited.
Findings
Recertification survey for Life Safety Code compliance with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Sep 27, 2023
Visit Reason
Complaint investigation with no deficiencies cited.
Findings
Complaint investigation with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Jun 7, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Jun 7, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 2
May 1, 2023
Visit Reason
Complaint survey with two deficiencies cited related to dialysis services.
Findings
Complaint survey with two deficiencies cited related to dialysis services.
Deficiencies (2)
| Description |
|---|
| §483.25(l) — Dialysis services |
| R9-10-417 — Dialysis services administration |
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