Courtyard at Crista Shores

Fire drills missed on the 1st, 2nd, and 3rd quarter of 2025.

Power strip going through the wall near battery charging area in maintenance shop.

Fire/smoke damper report from 9/16/24 shows deficiencies; need documentation of corrections.

Missing documentation for 3-year dry system full flow trip test and annual forward flow test; sprinkler heads in kitchen area loaded with debris and missing escutcheon ring; heads over 10 years need sample test.

Facility failed to provide documentation showing 1.5 hour emergency lights and exit signs power test.

Exposed electrical wires in the ceiling of maintenance shop.

Kitchen appliances that are gas-fired need to be tethered to the wall.

Facility failed to provide annual fire alarm report.

Double doors by pool/spa room and door to Room 410 failed to latch.

Veterinary examination for feline was outdated; updated on 04/25/2025.

Failed to ensure 2 of 6 sampled staff (Staff B and C) completed required annual 12 hours of continuing education training.

Hot food served in steam tray transported on cold open rack; corrected onsite to use hot carts.

Hot water in 3 of 9 resident rooms not maintained between 105F and 120F due to a flipped breaker; corrected onsite.

Facility failed to conduct fire drills once per shift per quarter for the last 12 months.

Fire department hydrostatic test needed. Missing/improper sprinkler heads: missing escutcheon in room 505 and kitchen locker room, 3 loaded heads in assisted living kitchen, and blocked head in exercise room #2.

Facility failed to provide documentation showing fire/smoke damper 4 year inspection.

Fire occurred in the bathroom of a resident unit. The fire suppression system did not activate. The area was evacuated, there were no injuries, and the fire department responded.

Facility failed to provide documentation showing first and second semi-annual servicing of the kitchen suppression system.

Facility failed to provide documentation showing smoke detectors sensitivity test.

Facility failed to provide annual inspection report, annual forward flow test on the backflow, and five-year fire department connection hydrostatic test.

Facility failed to provide documentation showing annual replacement of fusible links for the kitchen suppression system.