| Survey Date | Inspection Type | Track ID | Deficiency | Severity and Scope | Class | Requirement Description | Correction Date |
| 07/11/2024 | Standard | C6EI | F0550 | D | | RESIDENT RIGHTS/EXERCISE OF RIGHTS | 08/09/2024 |
| 07/11/2024 | Standard | C6EI | F0842 | D | | RESIDENT RECORDS - IDENTIFIABLE INFORMATION | 08/09/2024 |
| 07/11/2024 | Standard | C6EI | N0101 | D | 3 | RESIDENT MEDICAL RECORDS | 08/09/2024 |
| 07/11/2024 | Standard | C6EI | N0203 | D | 3 | RIGHT TO BE TREATED WITH DIGNITY | 08/09/2024 |
| 07/09/2024 | Fire/Life/Safety | C6EI | 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
| 07/30/2024 |
| 07/09/2024 | Fire/Life/Safety | C6EI | K0345 | D | 3 | FIRE ALARM SYSTEM - TESTING AND MAINTENANCEFire Alarm System - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72 | 07/30/2024 |
| 04/24/2024 | Complaint | TYMU | None | None | None | NoneNone | None |
| 02/29/2024 | Complaint | 11WN | None | None | None | NoneNone | None |
| 07/25/2023 | Complaint | PL1F | None | None | None | NoneNone | None |
| 06/15/2023 | Complaint | VYJ1 | F0686 | D | | TREATMENT/SVCS TO PREVENT/HEAL PRESSURE ULCER | 07/15/2023 |
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