Aug 20, 2026
98 / 100
· 3 violations
#2 · Walls and ceilings clean, good repair −2
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling in 218 and 1st floor hall. Observed damage to wall in clean linen room. REPEAT.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.
Observed toilet in need of cleaning in beauty salon. Observed chipped toilet seat in 214.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.
Observed no handwashing sign in downstairs womens bathroom. Needs handwashing sign.
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Feb 4, 2026
98.5 / 100
· 2 violations
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed walls scuffed throughout in need repair.
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed large amounts of unnecessary storage items (wheel chairs, walkers, misc storage) inside spa and shower rooms.
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Aug 21, 2025
98 / 100
· 6 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed crack on floor in bathroom of 215. Needs repair. -General comment.
#7 · Facilities provided, accessible, clean, good repair −1
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet seat peeling in 242. Observed shower floor in need of cleaning in 237 (spa room) and in room 241. REPEAT.
#17 · Back-up water supply plan available and complete −0.5
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees.
Observed no laundry, bathing, or toileting procedures in back up water supply plan. EHS emailed a plan template. REPEAT.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair
.1314 (c) Ice machines and storage chests accessible to residents, guests, or the public shall provide ice through automatic ice dispensing equipment and shall not permit ice to be accessed using a scoop or bucket. Observed ice cooler with scoop in hall accessible to all. Needs to be inaccessible/monitored or dispensed through automatic dispensing equipment.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed damaged bed frames in 224 and 215. Observed vanity peeling in 242 and 224. Observed towel bar broken in 242. Needs repair.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed some food for individual residents not labeled in activity room refrigerator. Staff stated some of the food was brought in this morning. Needs name and date labels. -General Comment
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Mar 7, 2025
98.5 / 100
· 4 violations
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable vents in rooms 217 and 230. REPEAT VIOLATION.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed cleaning needed to shower floor in shared spa room. General comment.
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. EHS emailed facility template for creating back up water supply plan that is in accordance with notated rule. ~General comment.
#28 · No pest presence; effective pest control measures −0.5
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed crawling bug in shared spa room. Per conversation with administrator, facilities pest control company has been actively treating for pest.
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Aug 22, 2024
98 / 100
· 4 violations
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed visible stains on the ceilings of Room 222 and 216, with the ceiling peeling in Room 216. PIC stated there was a leak in those rooms that has been repaired. A work order has been submitted to have issue repaired.
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. -Observed visible buildup of dust and debris on PTAC filters in Rooms 218, 241, and the Spa room. REPEAT VIOLATION.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed handsinks draining slow in rooms 234 and 241.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. -Observed large tears in blue vinyl pillow in 241 room, DON replaced pillow during time of inspection.
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Feb 28, 2024
98.5 / 100
· 2 violations
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation in AC vents in rooms 224, 237, and 239. Repeat violation.
#17 · Back-up water supply plan available and complete −0.5
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Facility was unable to locate back up water supply plan during time of inspection. Previous inspection report stated that back up water supply plan was incomplete. Repeat violation.
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Sep 27, 2023
99 / 100
· 6 violations
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable filters attached to ventilation systems in multiple residents rooms with heavy dust accumulation.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed 1 toilet lid peeling in room 242.
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed handwash sign missing in employees restroom.
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. EHS emailed facility template.
#23 · Solid waste containers properly constructed, covered where required; good repair
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed minor debris/litter surrounding dumpster area.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no written procedure for notated rule, EHS emailed facility required written procedure.
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Apr 17, 2023
98.5 / 100
· 2 violations
#5 · Ventilation equipment clean, good repair
Observed dust on filters in rooms 217 and 229.
.1311 (b) Ventilation equipment shall be kept clean and in good repair.
#16 · Hot water between 105°F and 116°F −1.5
Observed no hot water in room 229. Must have hot water between 105-116F.
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.
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Nov 9, 2022
98 / 100
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May 18, 2022
97.5 / 100
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Oct 25, 2021
97 / 100
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Apr 22, 2021
91.5 / 100
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Dec 9, 2020
96.5 / 100
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Mar 3, 2020
93 / 100
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Oct 30, 2019
95 / 100
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May 17, 2019
98 / 100
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Oct 25, 2018
97 / 100
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Jun 15, 2018
97 / 100
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Jul 10, 2017
95.5 / 100
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Jan 13, 2017
95 / 100
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Mar 30, 2016
93.5 / 100
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Dec 2, 2015
92.5 / 100
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Jun 11, 2015
94 / 100
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Oct 30, 2014
94.5 / 100
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Apr 28, 2014
91.5 / 100
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Oct 9, 2013
95 / 100
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