Citations Summary

Feb 2022 โ€“ Jan 2026
19 Total Citations โ€” state avg: 23
Issued in the reporting period
15Standard Health
4Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected โœ“
0
No actual harm
None in this period

Inspection Details

Surveys with Citations Only
October 31, 2025 Complaint Survey 6 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated December 23, 2025
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 4 ยท Immediate Jeopardy ๐Ÿ‘ค Isolated December 23, 2025
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 23, 2025
Investigate/prevent/correct Alleged Violation
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated December 23, 2025
Quality Of Care
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated December 23, 2025
Quality Of Care
Standard Health Citation โ€” quality of care
Level 3 ยท Actual Harm ๐Ÿ‘ค Isolated December 23, 2025
July 3, 2024 Certification/Complaint Survey 4 Health 1 LSC
โ–ผ
Standard Health Citations
Infection Prevention & Control
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern August 23, 2024
Medicaid/medicare Coverage/liability Notice
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 23, 2024
Physician Visits - Review Care/notes/order
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 23, 2024
Routine/emergency Dental Srvcs In Nfs
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated August 23, 2024
Life Safety Code Citations
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 31, 2024
February 20, 2024 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
June 22, 2023 Complaint Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated July 7, 2023
July 28, 2022 Certification/Complaint Survey 2 Health 10 LSC
โ–ผ
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 23, 2022
Safe/clean/comfortable/homelike Environment
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 23, 2022
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 27, 2022
Cooking Facilities
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 27, 2022
Fire Alarm System - Out Of Service
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 27, 2022
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 27, 2022
Illumination Of Means Of Egress
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 27, 2022
Means Of Egress - General
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 27, 2022
Multiple Occupancies - Contiguous Non-health
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค Isolated September 27, 2022
Roles Under A Waiver Declared By Secretary
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 27, 2022
Sprinkler System - Maintenance And Testing
Life Safety Code Citation โ€” NFPA requirements
Level 1 ยท Potential for minimal harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread September 27, 2022
Vertical Openings - Enclosure
Life Safety Code Citation โ€” NFPA requirements
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Pattern September 27, 2022
July 25, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
May 9, 2022 Covid-19 Survey 1 Health 0 LSC
โ–ผ
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation โ€” quality of care
Level 2 ยท Minor potential harm ๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค๐Ÿ‘ค Widespread Not yet corrected
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 54.2 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (2.3 per 100 beds vs. 3.0 statewide).
Total Complaints
96
55,221 statewide
Per 100 Occupied Beds
54.2
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
4
2.3 per 100 beds ยท avg 3.0
Facility-Reported Incidents
38%
55% statewide
Citations by CategoryThis Facility
Administration2
Dietary Services2
Other Services0
Physical Environment1
Quality of Care10
Resident Rights7
Total22

Enforcement & Fines

Feb 2016 โ€“ Jan 2026