Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
2
No citations found
50% of all inspections
2
Resulted in citations
50% of all inspections
15 Total Citations — state avg: 23
Issued across those 2 inspections
12Standard Health
3Life Safety Code
Severity of Citations
How serious were those 15 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Accuracy Of Assessments
Standard Health Citation — quality of care
Care Plan Timing And Revision
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
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
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Requirements Before Submitting A Request For
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Request/refuse/dscntnue Trmnt;formlte Adv Dir
Standard Health Citation — quality of care
Life Safety Code Citations
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
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 31.0 complaints per 100 beds vs. a statewide rate of 55.0. 3 citations resulted from those complaints (1.1 per 100 beds vs. 3.0 statewide).
Total Complaints
85
55,221 statewide
Per 100 Occupied Beds
31.0
55.0 state avg
On-Site Inspections
9
8,103 statewide
Citations Issued
3
1.1 per 100 beds · avg 3.0
Facility-Reported Incidents
12%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 3 |
| Dietary Services | 6 |
| Other Services | 0 |
| Physical Environment | 4 |
| Quality of Care | 20 |
| Resident Rights | 11 |
| Total | 44 |