Inspection Report — May 5, 2026
Complaint Investigation
Citations: 31
Date: May 5, 2026
Visit Reason
State-compiled facility profile showing 7 inspections from 2022 to 2026 with deficiency history, complaint investigations, and enforcement actions.
Complaint Details
The state logged 154 complaints about this facility; 11 led to on-site inspections. Complaint-related citations totaled 15.
Findings
Across 7 inspections, 5 resulted in citations totaling 50 deficiencies including standard health and life safety code violations. The facility had 154 complaints with 11 on-site inspections and 3 enforcement actions with fines totaling $14,000.
Citations (31)
Standard Health Citation — Free From Abuse And Neglect: Facility was found not free from abuse and neglect with actual harm noted and issue not yet corrected.
Standard Health Citation — Care Plan Timing And Revision: Care plans were not timely revised or updated as required.
Standard Health Citation — Develop/implement Comprehensive Care Plan: Facility failed to develop or implement comprehensive care plans.
Standard Health Citation — Free Of Accident Hazards/supervision/devices: Facility did not ensure residents were free from accident hazards.
Standard Health Citation — Reporting Of Alleged Violations: Facility failed to properly report alleged violations.
Standard Health Citation — Right To Be Free From Chemical Restraints: Residents' rights to be free from chemical restraints were not fully protected.
Standard Health Citation — Safe/functional/sanitary/comfortable Environ: Environment was not maintained safe, functional, sanitary, or comfortable.
Life Safety Code Citation — Electrical Equipment - Power Cords And Extens: Electrical equipment power cords and extensions did not meet NFPA requirements.
Life Safety Code Citation — Electrical Systems - Receptacles: Electrical receptacles did not comply with NFPA requirements.
Life Safety Code Citation — Exit Signage: Exit signage was deficient per NFPA requirements.
Life Safety Code Citation — Gas And Vacuum Piped Systems - Information An: Gas and vacuum piped systems lacked required information per NFPA standards.
Life Safety Code Citation — Hazardous Areas - Enclosure: Hazardous areas were not properly enclosed as required by NFPA.
Life Safety Code Citation — Physical Environment: Physical environment issues noted but no harm potential.
Life Safety Code Citation — Sprinkler System - Installation: Sprinkler system installation did not meet NFPA requirements.
Life Safety Code Citation — Sprinkler System - Maintenance And Testing: Sprinkler system maintenance and testing were deficient per NFPA.
Standard Health Citation — Accounting And Records Of Personal Funds: Accounting and records of personal funds were not properly maintained.
Standard Health Citation — Activities Meet Interest/needs Each Resident: Activities did not meet the interests and needs of each resident.
Standard Health Citation — Free From Unnec Psychotropic Meds/prn Use: Residents were not free from unnecessary psychotropic medications or PRN use.
Standard Health Citation — Investigate/prevent/correct Alleged Violation: Facility failed to properly investigate, prevent, or correct alleged violations.
Standard Health Citation — Reasonable Accommodations Needs/preferences: Reasonable accommodations for resident needs and preferences were not adequately provided.
Life Safety Code Citation — Corridor - Doors: Corridor doors did not meet NFPA requirements.
Life Safety Code Citation — Elevators: Elevators were deficient with potential for minimal harm per NFPA standards.
Life Safety Code Citation — Fire Alarm System - Testing And Maintenance: Fire alarm system testing and maintenance were deficient with potential for minimal harm.
Life Safety Code Citation — Gas Equipment - Cylinder And Container Storag: Gas equipment cylinder and container storage did not meet NFPA requirements.
Life Safety Code Citation — Gas Equipment - Testing And Maintenance Requi: Gas equipment testing and maintenance were deficient with potential for minimal harm.
Life Safety Code Citation — Hvac: HVAC systems were deficient with potential for minimal harm.
Life Safety Code Citation — Illumination Of Means Of Egress: Illumination of means of egress was deficient per NFPA requirements.
Life Safety Code Citation — Stairways And Smokeproof Enclosures: Stairways and smokeproof enclosures did not meet NFPA requirements.
Standard Health Citation — Free Of Accident Hazards/supervision/devices: Facility failed to keep residents free of accident hazards.
Standard Health Citation — Quality Of Care: Quality of care deficiencies noted with minor potential harm.
Standard Health Citation — Quality Of Care: Quality of care deficiency noted with minor potential harm.
Report Facts
Inspections on page: 7
Total violations/deficiencies cited: 50
Inspections with violations: 5
Inspections without violations: 2
Total complaints: 154
On-site complaint inspections: 11
Citations issued from complaints: 15
Enforcement actions: 3
Total fines: 14000
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