Inspection Report
Complaint Investigation
Deficiencies: 43
May 6, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys from 2021 to 2025 with deficiency and citation history.
Findings
Across multiple complaint surveys from 2021 to 2025, the facility received numerous Level 2 deficiencies related to quality of care and life safety code issues, all corrected within a short period. No citations involved actual harm or immediate jeopardy, and no enforcement actions were recorded during the reporting period.
Complaint Details
Facility received 75 complaints from November 1, 2021 to October 31, 2025, with 24 complaint-related on-site inspections and 6 complaint-related citations during this period.
Severity Breakdown
Level 2: 44
Level 1: 1
Deficiencies (43)
| Description | Severity |
|---|---|
| Maintains effective pest control program: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident records - identifiable information: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Safe/clean/comfortable/homelike environment: 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 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Corridors - areas open to corridor: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Portable fire extinguishers: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Stairways and smokeproof enclosures: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Corridors - construction of walls: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Discharge from exits: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Egress doors: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Electrical equipment - other: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Exit signage: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Fundamentals - building system categories: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Horizontal sliding doors: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Hvac: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Means of egress requirements - other: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Multiple occupancies: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Number of exits - story and compartment: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Physical environment: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Protection - other: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 1 |
| Sprinkler system - installation: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Standards of construction for new existing nh: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety requirements. | Level 2 |
| Pharmacy srvcs/procedures/pharmacist/records: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
Report Facts
Inspections on page: 17
Total complaints: 75
Complaint-related inspections: 24
Complaint-related citations: 100
Total citations: 33
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