Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 18
Feb 28, 2024
Visit Reason
Multiple standard health and life safety code citations were issued, all corrected by April 2024. Deficiencies included accounting records, activities, care plans, psychotropic medication use, and various life safety code issues such as corridor doors and sprinkler systems.
Findings
Multiple standard health and life safety code citations were issued, all corrected by April 2024. Deficiencies included accounting records, activities, care plans, psychotropic medication use, and various life safety code issues such as corridor doors and sprinkler systems.
Deficiencies (18)
| Description | Severity |
|---|---|
| Accounting and records of personal funds | Level 2 |
| Activities meet interest/needs each resident | Level 2 |
| Develop/implement comprehensive care plan | Level 2 |
| Free from unnec psychotropic meds/prn use | Level 2 |
| Investigate/prevent/correct alleged violation | Level 2 |
| Reasonable accommodations needs/preferences | Level 2 |
| Reporting of alleged violations | Level 2 |
| Corridor - doors | Level 2 |
| Elevators | Level 1 |
| Exit signage | Level 2 |
| Fire alarm system - testing and maintenance | Level 1 |
| Gas equipment - cylinder and container storag | Level 2 |
| Gas equipment - testing and maintenance requi | Level 1 |
| Hvac | Level 1 |
| Illumination of means of egress | Level 2 |
| Sprinkler system - installation | Level 2 |
| Sprinkler system - maintenance and testing | Level 2 |
| Stairways and smokeproof enclosures | Level 2 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Oct 20, 2022
Visit Reason
Standard health citations for free of accident hazards and quality of care were issued and corrected by December 2022.
Findings
Standard health citations for free of accident hazards and quality of care were issued and corrected by December 2022.
Deficiencies (2)
| Description | Severity |
|---|---|
| Free of accident hazards/supervision/devices | Level 3 |
| Quality of care | Level 2 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Jul 20, 2022
Visit Reason
Quality of care deficiency cited and corrected by August 2022.
Findings
Quality of care deficiency cited and corrected by August 2022.
Deficiencies (1)
| Description | Severity |
|---|---|
| Quality of care | Level 2 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 15
Jan 25, 2022
Visit Reason
Multiple standard health and life safety code citations including care plan timing, refuse disposal, food sanitation, psychotropic meds, infection control, physician visits, and life safety code issues. All corrected by February or March 2022.
Findings
Multiple standard health and life safety code citations including care plan timing, refuse disposal, food sanitation, psychotropic meds, infection control, physician visits, and life safety code issues. All corrected by February or March 2022.
Deficiencies (15)
| Description | Severity |
|---|---|
| Care plan timing and revision | Level 2 |
| Dispose garbage and refuse properly | Level 2 |
| Food procurement,store/prepare/serve-sanitary | Level 2 |
| Free from unnec psychotropic meds/prn use | Level 2 |
| Infection prevention & control | Level 2 |
| Physician visits-frequency/timeliness/alt npp | Level 2 |
| Doors with self-closing devices | Level 2 |
| Egress doors | Level 2 |
| Electrical systems - essential electric syste | Level 2 |
| Electrical systems - other | Level 2 |
| Elevators | Level 2 |
| Emergency lighting | Level 2 |
| Exit signage | Level 2 |
| Hazardous areas - enclosure | Level 2 |
| Sprinkler system - maintenance and testing | Level 2 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Jan 12, 2022
Visit Reason
Free from abuse and neglect deficiency cited and corrected by February 2022.
Findings
Free from abuse and neglect deficiency cited and corrected by February 2022.
Deficiencies (1)
| Description | Severity |
|---|---|
| Free from abuse and neglect | Level 2 |
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