Troy Victorian Rehabilitation & Nursing Care Center

Inspection Reports

Complaints

Nursing Home Complaints, November 1, 2021 to October 31, 2025

Number of Complaints
The total number of complaints received about the facility during the reporting period.
51 This Facility
51,680 Statewide
Number of Complaints per 100 Occupied Beds
This rate demonstrates the number of complaints and incidents received per 100 occupied beds during the reporting period. Occupied beds are approximated by taking the daily occupancy rate data from the most recent year's audited Nursing Home Cost Report. This rate allows the user to compare a specific facility's complaint experience with that of other homes or a statewide average.
70.1 This Facility
50.0 Statewide
Percentage of Complaints Representing Facility-Reported Incidents
Facilities are required to report certain kinds of incidents to the Department of Health whenever they occur, and these are included in the complaint count. This measure shows the percentage of complaints that represents such facility-reported incidents.
32.0% This Facility
54.0% Statewide
All Complaint-Related On-Site Inspections
The number of complaint-related inspections at the facility completed by the Department of Health during the reporting period. Not all inspections necessarily result in deficiencies being cited.
22 This Facility
7,360 Statewide
Citations
The total number of complaints-related citations during the reporting period.
27 This Facility
4,035 Statewide
Citations per 100 Occupied Beds
This rate demonstrates the number of citations per 100 occupied beds during the reporting period. Occupied beds are approximated by taking the daily occupancy rate data from the most recent year's audited Nursing Home Cost Report. This rate allows the user to compare a specific facility's complaint experience with that of other homes or a statewide average.
25.2 This Facility
3.9 Statewide

Complaints-Related Citations by Category, November 1, 2021 to October 31, 2025

Administration
The number of complaint-related deficiencies pertaining to administrative issues.
7 This Facility
Dietary Services
The number of complaint-related deficiencies pertaining to dietary services.
5 This Facility
Other Services
The number of complaint-related deficiencies pertaining to other issues, i.e., those that cannot be categorized under administration, quality of care, resident rights, diet, or physical environment.
0 This Facility
Physical Environment
The number of complaint-related deficiencies pertaining to the physical environment of the facility.
17 This Facility
Quality of Care
The number of complaint-related deficiencies pertaining to quality of care.
50 This Facility
Resident Rights
The number of complaint-related deficiencies pertaining to resident rights.
10 This Facility
Total Complaints-Related Citations
The total number of citations during the reporting period resulting directly from complaints made against the facility.
89 This Facility

Citations

Citations from October 1, 2021 through September 30, 2025

Citations Summary

Standard Health Citations
The number of citations falling into the category of standard health deficiencies, which pertain to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
31 This Facility
18 State Average
Life Safety Code Citations
The number of citations falling into the category of Life Safety Code deficiencies, which pertain to a wide range of requirements established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
8 This Facility
11 State Average
Total Citations
The total number of citations of any kind received by the nursing home during the reporting period
39 This Facility
29 State Average
Citations Related to Actual Harm or Immediate Jeopardy
The number of citations involving defiencies in which actual harm to a resident occurred, as opposed to deficiencies that only created the potential to cause such harm.
2 This Facility
1 State Average
Percentage of Citations Related to Actual Harm or Immediate Jeopardy
The percentage of citations received for deficiencies resulting in actual resident harm, as opposed to those that only created the potential for harm.
5.1% This Facility
2.0% State Average

The citations above resulted from a total of 13 inspections. There were also 8 inspections resulting in no citations.

Inspections (with citations)
13
Inspections (no citations)
8
Total citations
39

Citation Details

May 9, 2025 — Complaint Survey — Health: 24 — LSC: 21

May 9, 2025 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Care plan timing and revision
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Comprehensive assessments & timing
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Corridors have firmly secured handrails
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 11, 2025
Develop/implement comprehensive care plan
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Dispose garbage and refuse properly
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 9, 2025
Drug regimen review, report irregular, act on
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Food procurement,store/prepare/serve-sanitary
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 9, 2025
Free from abuse and neglect
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 3
Actual harm has occurred, resulting in a negative outcome compromising the resident's ability to reach the highest practicable level of functioning.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Free of medication error rts 5 prcnt or more
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread

Substandard quality of care: a severe, systemic deficiency.
Corrected as of July 8, 2025
General requirements
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 0
👤Scope
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 11, 2025
Infection prevention & control
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
License/comply w/ fed/state/locl law/prof std
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 11, 2025
Maintains effective pest control program
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 11, 2025
Notify of changes (injury/decline/room, etc. )
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Nutritive value/appear, palatable/prefer temp
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Pasarr screening for md & id
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Pharmacy srvcs/procedures/pharmacist/records
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 7, 2025
Quality of care
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Reporting of alleged violations
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Resident records - identifiable information
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Resident rights/exercise of rights
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 8, 2025
Residents are free of significant med errors
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread

Substandard quality of care: a severe, systemic deficiency.
Corrected as of July 8, 2025
Sufficient nursing staff
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 9, 2025
Treatment/svcs to prevent/heal pressure ulcer
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 9, 2025

Standard Life Safety Code Citations 

Deficiency Severity Scope SQC Corrected
Cooking facilities
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Corridor - doors
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Discharge from exits
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 11, 2025
Doors with self-closing devices
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Electrical systems - essential electric syste
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Elevators
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Ep program patient population
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 2, 2025
Ep testing requirements
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Ep training program
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 2, 2025
Fire alarm system - testing and maintenance
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Gas equipment - qualifications and training
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Hazardous areas - enclosure
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Illumination of means of egress
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Maintenance, inspection & testing - doors
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Means of egress - general
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Plan based on all hazards risk assessment
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 2, 2025
Smoking regulations
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Sprinkler system - maintenance and testing
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
Subdivision of building spaces - smoke barrie
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care.
Utilities - gas and electric
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
Vertical openings - enclosure
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of July 15, 2025
February 10, 2025 — Complaint Survey — Health: 1 — LSC: 0

February 10, 2025 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Free of accident hazards/supervision/devices
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of March 19, 2025
August 14, 2024 — Complaint Survey — Health: 1 — LSC: 0

August 14, 2024 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Sufficient nursing staff
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of October 29, 2024
July 5, 2024 — Complaint Survey — Health: 3 — LSC: 0

July 5, 2024 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Free from abuse and neglect
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of August 13, 2024
Free of accident hazards/supervision/devices
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 4
Immediate jeopardy to resident health or safety requiring immediate action. An event has caused or is likely to cause serious injury, harm, impairment, or death.
👤Isolated
Isolated

Substandard quality of care: a severe, systemic deficiency.
Corrected as of August 4, 2024
Reporting of alleged violations
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of August 4, 2024
March 25, 2024 — Complaint Survey — Health: 3 — LSC: 0

March 25, 2024 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Care plan timing and revision
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 6, 2024
Free from abuse and neglect
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 6, 2024
Free from misappropriation/exploitation
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 6, 2024
December 7, 2023 — Complaint Survey — Health: 5 — LSC: 0

December 7, 2023 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Bowel/bladder incontinence, catheter, uti
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of January 25, 2024
Investigate/prevent/correct alleged violation
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of January 25, 2024
Reporting of alleged violations
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of January 25, 2024
Resident records - identifiable information
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of January 25, 2024
Resident rights/exercise of rights
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of January 25, 2024
November 6, 2023 — Covid-19 Survey — Health: 1 — LSC: 0

November 6, 2023 Covid-19 Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Reporting - national health safety network
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.
August 22, 2023 — Complaint Survey — Health: 0 — LSC: 1

August 22, 2023 Complaint Survey

Standard Life Safety Code Citations 

Deficiency Severity Scope SQC Corrected
Egress doors
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of August 31, 2023
April 21, 2023 — Complaint Survey — Health: 1 — LSC: 0

April 21, 2023 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Treatment/svcs to prevent/heal pressure ulcer
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 28, 2023
April 20, 2023 — Complaint Survey — Health: 11 — LSC: 8

April 20, 2023 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Develop/implement comprehensive care plan
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Dispose garbage and refuse properly
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Drug regimen review, report irregular, act on
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Free of accident hazards/supervision/devices
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Free of medication error rts 5 prcnt or more
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
General safety standards of existing nh
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 0
👤Scope
Deficiency does not indicate severe, systemic problems in quality of care.
Notice of bed hold policy before/upon trnsfr
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Notice requirements before transfer/discharge
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Quality of care
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Responsibilities of providers; required notif
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 0
👤Scope
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Safe/clean/comfortable/homelike environment
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023

Standard Life Safety Code Citations 

Deficiency Severity Scope SQC Corrected
Electrical equipment - testing and maintenanc
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 20, 2023
Electrical systems - essential electric syste
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 29, 2023
Ep training program
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 9, 2023
Fire alarm system - installation
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Gas equipment - qualifications and training
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 20, 2023
Maintenance, inspection & testing - doors
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Subdivision of building spaces - smoke barrie
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
Vertical openings - enclosure
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤Pattern
Pattern
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
April 19, 2023 — Complaint Survey — Health: 1 — LSC: 0

April 19, 2023 Complaint Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Resident records - identifiable information
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤Isolated
Isolated
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of June 19, 2023
March 15, 2023 — Complaint Survey — Health: 0 — LSC: 1

March 15, 2023 Complaint Survey

Standard Life Safety Code Citations 

Deficiency Severity Scope SQC Corrected
Electrical equipment - testing and maintenanc
Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care. Corrected as of March 31, 2023
November 15, 2021 — Covid-19 Survey — Health: 1 — LSC: 0

November 15, 2021 Covid-19 Survey

Standard Health Citations 

Deficiency Severity Scope SQC Corrected
Reporting - national health safety network
Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping.
Level 2
No actual harm or immediate jeopardy, but has caused minor discomfort and has the potential to cause more than minimal harm.
👤👤👤👤👤Widespread
Widespread
Deficiency does not indicate severe, systemic problems in quality of care.

Enforcement

November 1, 2015 through October 31, 2025

Survey DateDetails
July 5, 2024
  • Stipulation & Order #: NH-24-060
  • Stipulation and Order date: October 21, 2024
  • Fine: $2,000
  • Description: Physical Environment
February 23, 2021
  • Stipulation & Order #: NH-21-157
  • Stipulation and Order date: September 21, 2021
  • Fine: $48,000
  • Description: Quality of Care
October 21, 2016
  • Stipulation & Order #: NH-17-030
  • Stipulation and Order date: April 12, 2017
  • Fine: $4,000
  • Description: Multiple Deficiencies
April 4, 2013
  • Stipulation & Order #: NH-16-156
  • Stipulation and Order date: May 4, 2016
  • Fine: $10,000
  • Description: Quality of Care
April 11, 2014
  • Stipulation & Order #: NH-16-012
  • Stipulation and Order date: January 5, 2016
  • Fine: $2,000
  • Description: Quality of Care
September 4, 2012
  • Stipulation & Order #: NH-16-025
  • Stipulation and Order date: January 5, 2016
  • Fine: $6,000
  • Description: Multiple Deficiencies