Citations Summary
Feb 2022 – Jan 202611 Total Citations — state avg: 23
Issued in the reporting period
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
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Increase/prevent Decrease In Rom/mobility
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Personal Privacy/confidentiality Of Records
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Ep Testing Requirements
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Dispose Garbage And Refuse Properly
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Safe/functional/sanitary/comfortable Environ
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Corridors - Construction Of Walls
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
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
▼
Standard Health Citations
Department Criminal History Review
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 2026Below state average. This facility received 17.1 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (0.6 per 100 beds vs. 3.0 statewide).
Total Complaints
30
55,221 statewide
Per 100 Occupied Beds
17.1
55.0 state avg
On-Site Inspections
4
8,103 statewide
Citations Issued
1
0.6 per 100 beds · avg 3.0
Facility-Reported Incidents
47%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 2 |
| Resident Rights | 2 |
| Total | 5 |