The report said risks were not proactively identified and managed, including the environment not being well maintained.
It said people had access to potentially harmful risk items in both communal and private spaces, and systems monitoring the safety of the environment were ineffective.
It identified a lack of effective monitoring and mitigation for risks including dehydration, food intake, malnutrition, skin breakdown and choking.
Governance and oversight was ineffective with the management team failing to complete effective audits and quality assurance processes.
In communal areas, it found people sitting for extended periods with little interaction or stimulation, and at dinner times people were sometimes sitting alone or facing a wall.
The CQC said the provider had not consistently notified the watchdog of all notifiable events, as required.
However, residents and their relatives spoke warmly of staff and said they were generally happy with the care received.