Oct 19, 2026
94.5 / 100
· 4 violations
#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 in need of cleaning in one resident room. Observed hand sink filled with items in utility room. Keep hand sinks free of items so that they are accessible.
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed broken paper towel dispenser in soiled utility room and no soap in clean utility room. Observed broken paper towel dispenser in room 101 and 212. Ensure hand sinks are supplied with soap and paper towels at all times and keep paper towel dispensers in working condition.
#16 · Hot water between 105°F and 116°F −3
.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. Observed hot water above 116F rooms 404, 101, 106, and 212. Observed hot water below 105F in rooms 406, 801, 805, 704, 705, 502, and 602. Ensure hot water is between 105-116F.
#38 · Food service equipment and utensils clean, good repair
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed microwave and reach-in coolers in all satellite kitchens with food debris and buildup. Keep clean.
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Apr 1, 2026
96 / 100
· 4 violations
#7 · Facilities provided, accessible, clean, good repair −1
REPEAT:
.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 slow draining at hand sink in the room 704, 508, 608, 305, 209, women restroom front hallway, need repair. Observed disrepair faucet in 808 needs repair. Ensure to keep hall hand sinks in good repair. Keep all handwashing sinks in good repair. Point remain the same.
#8 · Toilet rooms free of storage, handwash signs posted
General Comment:
.1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed walkers stored in the spa on 100/200 hall. Ensure to only store bathroom related items in the spa at anytime.
#10 · Handwashing facilities properly located and equipped
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels at hand sink in clean/ soiled utility room 300/400 service hall, room 402, 700/800 service hall soiled utility room. Ensure to supply all handwashing sinks washing supplies at all hand sinks at all times.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.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. Observed hot water temperature measured more than 120F on half of the building (100/200 & 300/400 hall), and the other half of the building measured in their 90F (500/600 & 700/800 hall). At the salon sink measured 128F, Room 202, 209, 108, 402, 407, 305, 309, spa measured between 122F- 128F. Rehab room measured at 137F. Room 503, 508, 604, 608, 704, 709, 808 measured between 89F- 99F.
NOTE: The facility shall provide tempered water range between 105- 116F at anytime.
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Oct 29, 2025
96 / 100
· 2 violations
#7 · Facilities provided, accessible, clean, good repair −1
REPEAT:
.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 slow draining at hand sink in the room 311, 501, 608, 707, 800/700 restroom hallway, women restroom main hallway. Observed disrepair faucet in 808, loose toilet seat in women restroom main hallway. Repair needed. Ensure to keep hall hand sinks in good repair.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.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. Observed hot water temperature measured at 132F in woman/men restroom main hallway, 130 in men restroom main hallway and room 301, 117F in room 105, 125F in room 212, 118F in service hallway sink, 119F in room 202, 128F in room 311, 124F in room 406, 125F in room 212, 104F at sink in 500/600 hallway, 101F in room 501/508/704/707, 99F in room 608. Provide tempered water range between 105- 116F at anytime.
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Jun 26, 2025
97 / 100
· 3 violations
#7 · Facilities provided, accessible, clean, good repair
General Comment:
.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 slow draining at hand sink in the room 808, 706, 405, 106, 209. Observed loose/disrepair faucet in 407, staff break room 100-200 hallway, and rehab room. Repair needed. Ensure to keep hall hand sinks in good repair.
#10 · Handwashing facilities properly located and equipped
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed in all med room hand sinks. At least one of the two soap and paper towels dispenser is working. Maintenance director stated, the facility is changing out a new type of dispenser. While doing that, please ensure all hand sinks are supplied with soap, paper towels and running water for proper hand washing at all time.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.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. Observed hot water range between 118F -132F. The hottest temperature at 132F in the salon and that hallway. 118F- 123F (back hallway, 407, 405, 308, 106, restroom front hallway, 808, 706, 508. Ensure to provide hot water temperature range between 105- 116F.
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Dec 27, 2024
97.5 / 100
· 4 violations
#2 · Walls and ceilings clean, good repair
.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 scuffed walls in multiple resident rooms. Repair. Observed baseboards peeling away from wall in room 302. Repair.
#16 · Hot water between 105°F and 116°F −1.5
.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. Observed hot water at 99-101F in 2 resident rooms on 600s/700s hall. Adjust hot water temperature. REPEAT *No point increase due to improvements in water temps from previous inspection.*
#38 · Food service equipment and utensils clean, good repair −1
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed food service equipment in activity kitchens with food debris buildup. Observed food debris in mini fridge in room 302. Keep food service equipment clean. REPEAT
#40 · Handwash lavatory provided and properly equipped
.1320 (c) Any area where food is portioned, served, or handled shall be equipped with a handwashing facility with a hot and cold mixing faucet, soap, and single-use towels or a hand-drying device. Observed no paper towels at handsink in 300/400s hall activity kitchen. Keep handsinks stocked with soap and paper towels at all times.
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Jun 21, 2024
96.5 / 100
· 5 violations
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed (med rooms, clean linen room) hand soap dispenser is not dispensing soap, some of paper towels dispenser is jammed. The issue was fixed at the time of inspection. Ensure all hand washing supplies are ready and available when installed for proper hand hygiene at all hand sinks at all time.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used
General Comment:
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions.- According to a housekeeper, when asked about the contact time for cleaning solution, minimum knowledge demonstrated of how to use sanitizing/disinfecting for effective cleaning. Education provided with housekeeper and maintenance personnel. Obtain correct information about contact time for type of chemical use in order to clean effectively throughout the facility. Provide education to cleaning staff and ensure cleaning effectively.
#16 · Hot water between 105°F and 116°F −1.5
REPEAT
.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.- Observed hot water temperature measure at 120F -136F at hand sink (500-600 hallway sinks, room: 503, 602, 701, 706, 804, 803, restroom 700-800 hallway). Ensure to provide tempered water between 105F - 116F.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair
General Comment:
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair.- Observed soiled/mildew of ice machine on surfaces and in the chute. Detail cleaning needed and keep clean.
#38 · Food service equipment and utensils clean, good repair −0.5
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled refrigerators, freezers, and microwaves in all satellite kitchen, the bottom of oven in therapy room. Observed soiled/dust/debris in drawer and cabinets in all satellite kitchen. All food equipment and cabinets pantry need detail cleaning and keep clean.
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Aug 18, 2023
98 / 100
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Jun 2, 2023
95.5 / 100
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Nov 14, 2022
96 / 100
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Jun 15, 2022
98 / 100
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Dec 20, 2021
97 / 100
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May 10, 2021
97 / 100
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Nov 20, 2020
98 / 100
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Jul 25, 2019
97 / 100
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Apr 29, 2019
97 / 100
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Sep 13, 2018
95.5 / 100
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Apr 4, 2018
93.5 / 100
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Jul 11, 2017
95.5 / 100
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Jan 26, 2017
96.5 / 100
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Jun 21, 2016
99 / 100
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Oct 29, 2015
98.5 / 100
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Mar 9, 2015
98.5 / 100
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