Citations Summary
Feb 2022 – Jan 20268 Inspections Conducted
3
No citations found
38% of all inspections
5
Resulted in citations
62% of all inspections
19 Total Citations — state avg: 23
Issued across those 5 inspections
14Standard Health
5Life Safety Code
Severity of Citations
How serious were those 19 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Respect, Dignity/right To Have Prsnl Property
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
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 119.0 complaints per 100 beds vs. a statewide rate of 55.0. 7 citations resulted from those complaints (6.7 per 100 beds vs. 3.0 statewide).
Total Complaints
125
55,221 statewide
Per 100 Occupied Beds
119.0
55.0 state avg
On-Site Inspections
8
8,103 statewide
Citations Issued
7
6.7 per 100 beds · avg 3.0
Facility-Reported Incidents
81%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 8 |
| Resident Rights | 2 |
| Total | 12 |