Citations Summary
Feb 2022 – Jan 202612 Inspections Conducted
4
No citations found
33% of all inspections
8
Resulted in citations
67% of all inspections
26 Total Citations — state avg: 23
Issued across those 8 inspections
21Standard Health
5Life Safety Code
Severity of Citations
How serious were those 26 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
Free From Abuse And Neglect
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Reporting Of Alleged Violations
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
Parenteral/iv Fluids
Standard Health Citation — quality of care
Right To Survey Results/advocate Agency Info
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Drug Regimen Review, Report Irregular, Act On
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
▼
Standard Health Citations
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
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
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
Combustible Decorations
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Illumination Of Means Of Egress
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
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
Treatment/devices To Maintain Hearing/vision
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 51.9 complaints per 100 beds vs. a statewide rate of 55.0. 14 citations resulted from those complaints (6.0 per 100 beds vs. 3.0 statewide).
Total Complaints
122
55,221 statewide
Per 100 Occupied Beds
51.9
55.0 state avg
On-Site Inspections
17
8,103 statewide
Citations Issued
14
6.0 per 100 beds · avg 3.0
Facility-Reported Incidents
40%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 4 |
| Other Services | 0 |
| Physical Environment | 3 |
| Quality of Care | 22 |
| Resident Rights | 4 |
| Total | 33 |