Citations Summary
Feb 2022 – Jan 202610 Inspections Conducted
5
No citations found
50% of all inspections
5
Resulted in citations
50% of all inspections
22 Total Citations — state avg: 23
Issued across those 5 inspections
17Standard Health
5Life Safety Code
Severity of Citations
How serious were those 22 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Physical Environment
Life Safety Code Citation — NFPA requirements
Vertical Openings - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting Of Reasonable Suspicion Of A Crime
Standard Health Citation — quality of care
▼
Standard Health Citations
Activities Meet Interest/needs Each Resident
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Drug Regimen Is Free From Unnecessary Drugs
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
General Requirements
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
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
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Doors With Self-closing Devices
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
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
Vertical Openings - Enclosure
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 39.7 complaints per 100 beds vs. a statewide rate of 55.0. 6 citations resulted from those complaints (3.1 per 100 beds vs. 3.0 statewide).
Total Complaints
77
55,221 statewide
Per 100 Occupied Beds
39.7
55.0 state avg
On-Site Inspections
14
8,103 statewide
Citations Issued
6
3.1 per 100 beds · avg 3.0
Facility-Reported Incidents
35%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 6 |
| Quality of Care | 18 |
| Resident Rights | 7 |
| Total | 33 |