Firwood

The facility failed to properly label, date, and ensure safety of ready-to-eat food, placing 15 residents at risk for foodborne illness. This represents a moderate violation affecting care quality and resident safety. The facility's response was inadequate, as this was an uncorrected repeat deficiency previously cited on January 9, 2025, demonstrating failure to implement effective corrective actions after the initial citation. The state imposed a $300 civil fine for the continuing non-compliance with food sanitation requirements.

The facility failed two consecutive fire and life safety inspections (July and September 2024), with documented deficiencies in critical fire protection systems including fire alarm testing, carbon monoxide detection maintenance, and sprinkler system inspections. These violations represent serious life-safety concerns affecting 16 residents and staff. The facility administrator promptly acknowledged the deficiencies and committed to corrective action, and a follow-up inspection on January 2, 2025 confirmed all fire safety violations were corrected and the facility returned to full compliance with licensing requirements. The successful resolution demonstrates adequate response, though the initial failures and delayed correction required regulatory escalation through a State Fire Marshal Letter of Non-Compliance before full compliance was achieved.

This facility had systemic failures in life-safety systems across three consecutive inspections (July, September, December 2024). Critical violations included missing fire drill documentation for multiple shifts across all quarters, incomplete sprinkler system testing and maintenance records, non-functional fire alarm communication with monitoring company, corroded fire extinguisher, and a resident room fire door that failed to close and latch. The facility demonstrated a moderate response by correcting some equipment issues (fire extinguisher, fire door) and some documentation gaps between inspections, but persistently failed to maintain complete records for mandatory safety testing across all three inspections, indicating inadequate systematic corrective action. The pattern of repeated documentation failures and the compromised fire alarm monitoring system created significant resident safety risks in this residential care facility.

The inspection identified a pattern of non-compliance with fire safety documentation and maintenance requirements, including missing fire drill records across multiple shifts and quarters, incomplete testing records for critical fire protection systems (sprinkler, alarm, emergency lighting), and a non-functional resident room door that failed to close and latch. The facility failed to provide required documentation at the time of inspection and the approval status was disapproved, indicating minimal corrective action had been taken prior to inspection. While these are serious procedural violations affecting fire safety preparedness, no immediate life-threatening conditions or actual resident harm was documented.