A Compassionate Assisted Living LLC

2025 · 20 cited

1. The facility failed to provide furnishings for a resident who did not provide their own furnishings.

   Life Safety CodeCited Oct 27, 2025Corrected —

2. The facility failed to provide protection where an exterior grade makes an abrupt change in level.

   Life Safety CodeCited Oct 27, 2025Corrected —

3. The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

   Life Safety CodeCited Oct 27, 2025Corrected —

4. The facility failed to maintain electrical, heating, and cooling systems so they worked safely.

   Life Safety CodeCited Oct 27, 2025Corrected —

5. The facility failed to keep floors in good condition and regularly cleaned.

   Life Safety CodeCited Oct 27, 2025Corrected —

6. The facility failed to keep storage areas organized and free of obstructions.

   Life Safety CodeCited Oct 27, 2025Corrected —

7. The facility failed to ensure equipment could be accessed to the facility could inspect, test, and service the equipment.

   Life Safety CodeCited Oct 27, 2025Corrected —

8. The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.

   Life Safety CodeCited Oct 27, 2025Corrected —

9. The facility failed to ensure the building structure was sheathed to provide a 20-minute fire resistance rating or was constructed to meet the construction requirements for a nursing home.

   Life Safety CodeCited Oct 27, 2025Corrected —

10. The facility failed to ensure doors in the facility met the referenced codes and standards.

    Life Safety CodeCited Oct 27, 2025Corrected —

11. The facility failed to ensure resident room doors would latch in their frames.

    Life Safety CodeCited Oct 27, 2025Corrected —

12. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited Oct 27, 2025Corrected —

13. The facility failed to keep walls and ceilings in good condition.

    Life Safety CodeCited Oct 27, 2025Corrected —

14. The facility failed to provide a fire sprinkler system that met the referenced codes and standards.

    Life Safety CodeCited Oct 27, 2025Corrected —

15. The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

    Life Safety CodeCited Oct 27, 2025Corrected —

16. The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

    Health VisitCited Jun 27, 2025Corrected —

17. The facility failed to conduct required fire drills and document fire drills on the required form.

    Health VisitCited Jun 27, 2025Corrected —

18. The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

    Health VisitCited Jun 27, 2025Corrected —

19. The facility failed to search the NAR and EMR annually.

    Health VisitCited Jun 27, 2025Corrected —

20. The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

    Health VisitCited Jun 27, 2025Corrected —