39 earlier / fire-safety inspections (159 citations)
2026-04-22Health inspectionComplaint-triggered1 citation
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-06
2026-04-14Health inspectionComplaint-triggered3 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-25
F-0610D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-05-25
F-0740G · Actual harmFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-05-25
2026-03-20Health inspectionComplaint-triggered1 citation
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-01
2026-03-12Health inspectionComplaint-triggered3 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-12
F-0609D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-12
F-0740G · Actual harmFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-04-12
2026-02-26Health inspectionComplaint-triggered4 citations
F-0584E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-06-01
F-0600H · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-06-01
F-0740G · Actual harmFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-06-01
F-0921E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-06-01
2026-01-08Health inspectionComplaint-triggered2 citations
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0740D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-12-22Health inspectionComplaint-triggered1 citation
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-11-25Health inspectionComplaint-triggered2 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-26
F-0949E · No harm foundFrom a complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-11-26
2025-11-20Health inspectionComplaint-triggered1 citation
F-0805D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-11-21
2025-08-29Health inspectionComplaint-triggered1 citation
F-0557E · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-10-13
2025-08-22Health inspectionComplaint-triggered5 citations
F-0550D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-06
F-0561D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-10-06
F-0563D · No harm foundFrom a complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2025-10-06
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0850E · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-10-06
2025-07-31Health inspectionComplaint-triggered3 citations
F-0584E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-12
F-0628E · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-25
F-0918E · No harm foundFrom a complaint
Provide a bathroom in or located near each resident’s room.
Corrected 2025-09-12
2025-04-28Health inspectionComplaint-triggered20 citations
F-0584E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-06-12
F-0600D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-12
F-0607E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-12
F-0684D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-12
F-0688D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-06-12
F-0689E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-12
F-0691D · No harm found
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2025-06-12
F-0695D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-12
F-0712E · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-06-12
F-0740D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-06-12
F-0756D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-12
F-0758D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-06-12
F-0761E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-06-12
F-0812E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-12
F-0880F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
F-0881E · No harm foundFrom a complaint
Implement a program that monitors antibiotic use.
Corrected 2025-06-12
F-0883E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-12
F-0887E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-06-12
F-0921E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-12
F-0947F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-12
2025-03-05Health inspectionComplaint-triggered3 citations
F-0557D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-02-26
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-10
F-0609D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-25
2025-01-31Health inspectionComplaint-triggered3 citations
F-0600K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-10
F-0610E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-03-10
F-0741D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-03-10
2025-01-03Health inspectionComplaint-triggered2 citations
F-0580D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-14
F-0604D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-02-14
2024-12-19Health inspectionComplaint-triggered5 citations
F-0580E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-14
F-0600E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-10
F-0622E · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-02-02
F-0740E · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-02-02
F-0760E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-02-02
2024-11-15Health inspectionComplaint-triggered1 citation
F-0689J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-05
2024-10-04Health inspectionComplaint-triggered1 citation
F-0740E · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-10-04
2024-09-12Health inspectionComplaint-triggered3 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-27
F-0623D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-27
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-27
2024-08-15Health inspectionComplaint-triggered4 citations
F-0557D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-09-27
F-0580D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-27
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-04
F-0744E · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-09-27
2024-07-31Health inspectionComplaint-triggered1 citation
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-22
2024-06-25Health inspectionComplaint-triggered2 citations
F-0584K · Immediate jeopardyFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-07-25
F-0742D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-07-25
2024-05-30Health inspectionComplaint-triggered2 citations
F-0557D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-06-30
F-0584D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-07-25
2024-05-03Health inspectionComplaint-triggered2 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-26
F-0609E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-25
2024-02-09Health inspectionComplaint-triggered3 citations
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-05
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-20
F-0741E · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-03-29
2023-12-21Health inspectionComplaint-triggered5 citations
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-05
F-0623D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-25
F-0626D · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-01-25
F-0646D · No harm foundFrom a complaint
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-01-30
F-0689D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-20
2023-11-30Health inspectionComplaint-triggered2 citations
F-0583D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-30
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-05
2023-11-16Health inspectionComplaint-triggered4 citations
F-0550D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-25
F-0600J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-05
F-0609F · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-25
F-0610D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-12-25
2023-10-18Health inspectionComplaint-triggered2 citations
F-0600G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-10
F-0741D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2023-10-13
2023-10-06Health inspectionComplaint-triggered1 citation
F-0557D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-10-04
2023-08-30Health inspectionComplaint-triggered1 citation
F-0584E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-09-30
2023-08-02Health inspectionComplaint-triggered1 citation
F-0600D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-01
2023-05-07Health inspection20 citations
F-0553D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-06-21
F-0565E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-06-21
F-0600D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-21
F-0644E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-21
F-0656E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-21
F-0679E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-06-21
F-0691D · No harm found
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2023-06-21
F-0695D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-21
F-0699E · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-06-21
F-0726E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-06-21
F-0730E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-06-21
F-0742E · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-06-21
F-0755E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-21
F-0756D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-21
F-0761E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-06-21
F-0880E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-21
F-0883E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-06-21
F-0887E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-06-21
F-0888C · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2023-06-21
F-0947E · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-06-21
2021-05-27Health inspection8 citations
F-0584E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-07-07
F-0604D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-07-07
F-0609D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-07-07
F-0679D · No harm found
Provide activities to meet all resident's needs.
Corrected 2021-07-07
F-0756E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-07-07
F-0758D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-07-07
F-0761E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-07-07
F-0908E · No harm found
Keep all essential equipment working safely.
Corrected 2021-07-07
2026-02-26Fire-safety inspectionComplaint-triggered2 citations
K-0741F · No harm foundFrom a complaint
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-04-12
K-0761F · No harm foundFrom a complaint
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
2025-04-28Fire-safety inspection13 citations
K-0161F · No harm found
Use approved construction type or materials.
Corrected 2025-06-12
K-0211E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-12
K-0222L · Immediate jeopardy
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-06-12
K-0311E · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-12
K-0324E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-06-12
K-0345F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-12
K-0347E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-06-12
K-0353F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-12
K-0363E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-06-12
K-0374F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-12
K-0741F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-12
K-0920E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-12
K-0923E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-06-12
2023-05-07Fire-safety inspection18 citations
K-0211E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-21
K-0222E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K-0281E · No harm found
Install proper backup exit lighting.
Corrected 2023-06-21
K-0293E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-06-21
K-0300E · No harm found
Meet other general requirements that are deficient.
Corrected 2023-06-21
K-0331E · No harm found
Construct fire resistant interior walls.
Corrected 2023-06-21
K-0345F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-21
K-0353F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-21
K-0355E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-21
K-0363F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-06-21
K-0500F · No harm found
Meet other general requirements that are deficient.
Corrected 2023-06-21
K-0531E · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-06-21
K-0712F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-06-21
K-0741E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-21
K-0761F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-21
K-0901F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-06-21
K-0918F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-21
K-0919E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-06-21
2021-05-27Fire-safety inspection3 citations
K-0355E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-07
K-0712F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2021-07-07
K-0919E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2021-07-07
Federal penalties
2026-02-26Fine$564,745
2026-01-08Fine$14,895
2025-12-22Fine$14,819
2025-11-20Fine$25,012
2025-07-31Fine$12,627
2025-04-28Fine$14,768
2024-12-19Fine$161,129
2024-11-15Fine$12,038
2024-08-15Fine$51,266
2024-07-31Fine$14,050
2024-05-30Fine$54,406
2024-05-03Fine$16,801
2023-11-16Fine$192,133
2026-02-26Medicare payment denial — 53 days
2025-04-28Medicare payment denial — 6 days
2024-08-15Medicare payment denial — 11 days
2023-11-16Medicare payment denial — 93 days
Total fines$1,148,689
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265822.