6 Reports
Inspection Report — Apr 9, 2026
Complaint Investigation
Date: Apr 9, 2026
Visit Reason
Investigation of complaint #131855-C regarding facility maintenance and cleanliness.
Complaint Details
Complaint #131855-C
Findings
The program failed to ensure all areas of the building were clean and well-maintained, with multiple spots of discoloration and dust buildup observed. The facility corrected the deficiencies by May 8, 2026.
Violations (1)
481-69.35(1)b Structural Requirements: The program failed to ensure all areas of the building were clean and well-maintained. Observations revealed spots of discoloration, dust buildup, and peeling paint in multiple units and common areas.
Inspection Report — Oct 9, 2025
Renewal
Date: Oct 9, 2025
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit, indicating the facility was in compliance with certification rules.
Report Facts
Number of tenants without cognitive impairment: 25
Number of tenants with cognitive impairment: 18
Inspection Report — Jun 24, 2024
Complaint Investigation
Date: Jun 24, 2024
Visit Reason
The inspection was conducted to investigate Complaint #118394-C at the assisted living program for people with dementia.
Complaint Details
Complaint #118394-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive impairment: 32
Number of tenants with cognitive impairment: 15
Inspection Report — Jul 13, 2023
Renewal
Date: Jul 13, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program serving people with dementia.
Complaint Details
The investigation of Complaints ##107881-C, 108710-C, and 108799-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the recertification visit or during the investigation of three related complaints.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 18
Inspection Report — Aug 15, 2022
Complaint Investigation
Date: Aug 15, 2022
Visit Reason
The inspection was conducted to complete complaint investigations #102018-C and 106842-C during the on-site visit.
Complaint Details
Complaints #102018-C and 106842-C were investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigations.
Report Facts
Number of tenants without cognitive disorder: 27
Number of tenants with cognitive disorder: 15
Inspection Report — Jun 2, 2021
Renewal
Date: Jun 2, 2021
Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program, including an onsite infection control survey.
Findings
The program failed to consistently perform record check evaluations prior to employment, affecting 1 of 4 staff reviewed. The deficiency involved failure to complete the Department of Human Services record check evaluation despite evidence of criminal history.
Violations (1)
Program failed to consistently perform record check evaluations prior to employment for staff with criminal history.
Report Facts
Number of tenants without cognitive disorder (General Population): 26
Number of tenants with cognitive disorder (General Population): 4
Number of tenants without cognitive disorder (Memory Care Unit): 0
Number of tenants with cognitive disorder (Memory Care Unit): 11
Staff affected by record check deficiency: 1
Total staff reviewed: 4
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