| Survey Date | Inspection Type | Track ID | Deficiency | Severity and Scope | Class | Requirement Description | Correction Date |
| 05/29/2025 | Complaint | VH4D | None | None | None | NoneNone | None |
| 05/19/2025 | Complaint | SHR8 | None | None | None | NoneNone | None |
| 05/01/2025 | Complaint | LSE1 | None | None | None | NoneNone | None |
| 02/26/2025 | Complaint | H1VR | None | None | None | NoneNone | None |
| 01/13/2025 | Fire/Life/Safety | 6D9O | K0324 | D | 3 | COOKING FACILITIESCooking Facilities
Cooking equipment is protected in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, unless:
* residential cooking equipment (i.e., small appliances such as microwaves, hot plates, toasters) are used for food warming or limited cooking in accordance with 18.3.2.5.2, 19.3.2.5.2
* cooking facilities open to the corridor in smoke compartments with 30 or fewer patients comply with the conditions under 18.3.2.5.3, 19.3.2.5.3, or
* cooking facilities in smoke compartments with 30 or fewer patients comply with conditions under 18.3.2.5.4, 19.3.2.5.4.
Cooking facilities protected according to NFPA 96 per 9.2.3 are not required to be enclosed as hazardous areas, but shall not be open to the corridor.
18.3.2.5.1 through 18.3.2.5.4, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3, TIA 12-2
| 02/08/2025 |
| 01/13/2025 | Fire/Life/Safety | 6D9O | K0345 | D | 3 | FIRE ALARM SYSTEM - TESTING AND MAINTENANCEFire Alarm System - Testing and Maintenance
Detection systems, where required, shall be in accordance with Section 9.6. Fire alarm systems required by this Code shall be installed, tested, and maintained in accordance with the applicable requirements of NFPA70 and NFPA72 unless otherwise permitted by 9.6.1.4.
18.3.4.1, 19.3.4.1, 9.6, and NFPA 70, and NFPA 72
| 02/08/2025 |
| 01/09/2025 | Standard | 6D9O | F0561 | D | | SELF-DETERMINATION | 02/07/2025 |
| 01/09/2025 | Standard | 6D9O | F0584 | D | | SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | 02/07/2025 |
| 01/09/2025 | Standard | 6D9O | F0585 | D | | GRIEVANCES | 02/07/2025 |
| 01/09/2025 | Standard | 6D9O | F0641 | D | | ACCURACY OF ASSESSMENTS | 02/07/2025 |
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