Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
2
No citations found
50% of all inspections
2
Resulted in citations
50% of all inspections
11 Total Citations — state avg: 23
Issued across those 2 inspections
6Standard Health
5Life Safety Code
Severity of Citations
How serious were those 11 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Increase/prevent Decrease In Rom/mobility
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
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Quality Of Care
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
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Physician Visits - Review Care/notes/order
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Right To Be Informed/make Treatment Decisions
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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 19.8 complaints per 100 beds vs. a statewide rate of 55.0. 2 citations resulted from those complaints (1.0 per 100 beds vs. 3.0 statewide).
Total Complaints
39
55,221 statewide
Per 100 Occupied Beds
19.8
55.0 state avg
On-Site Inspections
6
8,103 statewide
Citations Issued
2
1.0 per 100 beds · avg 3.0
Facility-Reported Incidents
33%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 8 |
| Resident Rights | 4 |
| Total | 18 |