Citations Summary
Feb 2022 – Jan 202612 Total Citations — state avg: 23
Issued in the reporting period
8Standard Health
4Life Safety Code
Severity of Citations
How serious were those 12 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
▼
Standard Health Citations
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Qaa Committee
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Life Safety Code Citations
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Involuntary Seclusion
Standard Health Citation — quality of care
▼
Standard Health Citations
Accounting And Records Of Personal Funds
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free From Misappropriation/exploitation
Standard Health Citation — quality of care
Infection Prevention & Control
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
Rn 8 Hrs/7 Days/wk, Full Time Don
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Subsistence Needs For Staff And Patients
Standard Health Citation — quality of care
Life Safety Code Citations
Fire Drills
Life Safety Code Citation — NFPA requirements
Infection Control
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
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 2026Above state average. This facility received 102.1 complaints per 100 beds vs. a statewide rate of 55.0. 4 citations resulted from those complaints (4.2 per 100 beds vs. 3.0 statewide).
Total Complaints
98
55,221 statewide
Per 100 Occupied Beds
102.1
55.0 state avg
On-Site Inspections
6
8,103 statewide
Citations Issued
4
4.2 per 100 beds · avg 3.0
Facility-Reported Incidents
79%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 2 |
| Resident Rights | 0 |
| Total | 2 |