Citations Summary
Feb 2022 – Jan 202612 Inspections Conducted
7
No citations found
58% of all inspections
5
Resulted in citations
42% of all inspections
29 Total Citations — state avg: 23
Issued across those 5 inspections
23Standard Health
6Life Safety Code
Severity of Citations
How serious were those 29 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
Discharge Process
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Personal Privacy/confidentiality Of Records
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Tube Feeding Mgmt/restore Eating Skills
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Life Safety Code Citations
Exit Signage
Life Safety Code Citation — NFPA requirements
Interior Nonbearing Wall Construction
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Responsibilities Of Providers; Required Notif
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
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 37.0 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.7 per 100 beds vs. 3.0 statewide).
Total Complaints
51
55,221 statewide
Per 100 Occupied Beds
37.0
55.0 state avg
On-Site Inspections
19
8,103 statewide
Citations Issued
1
0.7 per 100 beds · avg 3.0
Facility-Reported Incidents
27%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 20 |
| Resident Rights | 9 |
| Total | 34 |