Citations Summary

Feb 2022 โ€“ Jan 2026
9 Inspections Conducted
6
No citations found
67% of all inspections
3
Resulted in citations
33% of all inspections
27 Total Citations โ€” state avg: 23
Issued across those 3 inspections
22Standard Health
5Life Safety Code
Severity of Citations
How serious were those 27 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
December 9, 2025 Certification Survey 9 Health 1 LSC
โ–ผ
Standard Health Citations
Competent Nursing Staff
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Develop/implement Comprehensive Care Plan
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Label/store Drugs And Biologicals
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Resident's Care Supervised By A Physician
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Services Provided Meet Professional Standards
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Therapeutic Diet Prescribed By Physician
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated February 4, 2026
May 9, 2024 Certification/Complaint Survey 4 Health 2 LSC
โ–ผ
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern July 5, 2024
Residents Are Free Of Significant Med Errors
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 5, 2024
Safe/functional/sanitary/comfortable Environ
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 5, 2024
Self-determination
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 5, 2024
Life Safety Code Citations
Fire Drills
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread May 29, 2024
Physical Environment
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated May 28, 2024
June 27, 2022 Certification/Complaint Survey 2 Health 1 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 July 29, 2022
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 29, 2022
Life Safety Code Citations
Physical Environment
Life Safety Code Citation โ€” NFPA requirements
Level 0 ๐Ÿ‘ค Scope August 15, 2022
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 17.9 complaints per 100 beds vs. a statewide rate of 55.0. 0 citations resulted from those complaints (0.0 per 100 beds vs. 3.0 statewide).
Total Complaints
40
55,221 statewide
Per 100 Occupied Beds
17.9
55.0 state avg
On-Site Inspections
20
8,103 statewide
Citations Issued
0
0.0 per 100 beds ยท avg 3.0
Facility-Reported Incidents
10%
55% statewide
Citations by CategoryThis Facility
Administration2
Dietary Services1
Other Services0
Physical Environment2
Quality of Care22
Resident Rights5
Total32

Enforcement & Fines

Feb 2016 โ€“ Jan 2026