Citations Summary

Feb 2022 โ€“ Jan 2026
29 Total Citations โ€” state avg: 23
Issued in the reporting period
25Standard Health
4Life Safety Code
Severity of Citations
How serious were those 29 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
April 1, 2025 Certification/Complaint Survey 8 Health 7 LSC
โ–ผ
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Covid-19 Immunization
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Increase/prevent Decrease In Rom/mobility
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Required In-service Training For Nurse Aides
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Resident Rights/exercise Of Rights
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 31, 2025
Life Safety Code Citations
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Hvac
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Information On Occupancy/needs
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Ltc And Icf/iid Sharing Plan With Patients
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 30, 2025
Standards Of Construction For New Existing Nh
Life Safety Code Citation โ€” NFPA requirements
Level 0 ๐Ÿ‘ค Scope May 30, 2025
May 20, 2024 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 8, 2024
March 7, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 8, 2023
January 3, 2023 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
December 27, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
December 7, 2022 Certification/Complaint Survey 12 Health 12 LSC
โ–ผ
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Competent Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Nutrition/hydration Status Maintenance
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Quality Of Care
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Reasonable Accommodations Needs/preferences
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Resident Records - Identifiable Information
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern December 29, 2022
Self-determination
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 29, 2022
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated December 29, 2022
Life Safety Code Citations
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2023
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 1, 2023
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 1, 2023
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2023
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2023
Ep Testing Requirements
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 1, 2023
Hazardous Areas - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 1, 2023
Hospital Cah And Ltc Emergency Power
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread February 1, 2023
Hvac
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2023
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern February 1, 2023
Sprinkler System - Installation
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 1, 2023
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 1, 2023
August 16, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
August 8, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
July 18, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
July 11, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
April 19, 2022 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 23, 2022
April 4, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
Severity Scale Reference
Level 0 โ€” No Harm Potential Level 2 โ€” Minor Potential Harm Level 3 โ€” Actual Harm Level 4 โ€” Immediate Jeopardy

Complaints

Feb 2022 โ€“ Jan 2026
Below state average. This facility received 54.0 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (2.3 per 100 beds vs. 3.0 statewide).
Total Complaints
95
55,221 statewide
Per 100 Occupied Beds
54.0
55.0 state avg
On-Site Inspections
14
8,103 statewide
Citations Issued
4
2.3 per 100 beds ยท avg 3.0
Facility-Reported Incidents
47%
55% statewide
Citations by CategoryThis Facility
Administration3
Dietary Services6
Other Services0
Physical Environment5
Quality of Care26
Resident Rights17
Total57

Enforcement & Fines

Feb 2016 โ€“ Jan 2026