Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
2
No citations found
25% of all inspections
6
Resulted in citations
75% of all inspections
18 Total Citations — state avg: 23
Issued across those 6 inspections
14Standard Health
4Life Safety Code
Severity of Citations
How serious were those 18 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Dialysis
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Pasarr Screening For Md & Id
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Smoking Regulations
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Behavioral Health Services
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Right To Be Informed/make Treatment Decisions
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Life Safety Code Citations
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Feb 2022 – Jan 2026Below state average. This facility received 29.8 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (4.3 per 100 beds vs. 3.0 statewide).
Total Complaints
28
55,221 statewide
Per 100 Occupied Beds
29.8
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
4
4.3 per 100 beds · avg 3.0
Facility-Reported Incidents
50%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 11 |
| Resident Rights | 2 |
| Total | 14 |