5 Reports
Inspection Report — Feb 18, 2026
Renewal
Date: Feb 18, 2026
Visit Reason
The survey was conducted as a renewal inspection to assess compliance with licensing standards.
Findings
The facility had multiple deficiencies including non-functioning emergency call systems, incomplete administrator training and review of incident reports, insufficient staff dementia training, missing criminal background checks, and lack of required documentation in resident service plans and incident communications.
Deficiencies (7)
37.106.302-2 Minimum standards of construction for a: the emergency call system was not fully functional; bathroom call lights and fixed call systems were not signaling or accessible, and pendants could be silenced from multiple locations.
37.106.2814-3 Administrator: the administrator's personnel file lacked evidence of 16 hours of annual continued education.
37.106.2814-12 Administrator: incident reports lacked documentation that the administrator reviewed them or implemented corrective actions.
37.106.2816-3 Assisted living facility staffing: employee files for four staff members lacked documentation of required dementia training on hire and annually thereafter.
37.106.2817-2 Employee files: required criminal background check results were missing from three employee files.
37.106.2822-1 Resident service plan: category A: service plans for three residents lacked documentation of required 60-day reviews.
37.106.2829-2 Resident file: incident reports lacked documentation of required communication to physicians, families, or responsible parties following significant events.
Inspection Report — Feb 5, 2019
Renewal
Date: Feb 5, 2019
Visit Reason
The facility underwent a renewal inspection as part of its licensing requirements.
Findings
One deficiency was found related to the physical plant: the handicap access ramp hand rail on the north side of the facility was unstable and lacked sufficient support.
Deficiencies (1)
37.106.2865-5 Physical plant: the handicap access ramp hand rail on the north side of the facility exterior has considerable movement and lacks adequate support to sustain a concentrated 250-pound load.
Inspection Report — Jan 25, 2017
Renewal
Date: Jan 25, 2017
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Two deficiencies were found related to physical plant safety and medication storage. The handicap entrance ramp had unstable handrails and broken anchor bolts, and several medications were found to be outdated.
Deficiencies (2)
37.106.2865-5 Physical plant: the handicap entrance ramp had two PVC handrails with broken anchor bolts and a loose anchor bolt near the rear entrance.
37.106.2846-5 Medications, storage and disposal: multiple medications in the medication cart were outdated, including Betamethasone Dipropionate Lotion and Nasal Decongestant Spray.
Inspection Report — Feb 18, 2016
Renewal
Date: Feb 18, 2016
Visit Reason
The survey was a renewal inspection of MT Gems Inc. dba Ruby House.
Findings
Deficiencies were found related to missing physician orders for resident categorization, incomplete safety device consent forms, lack of quarterly safety device reviews, failure to notify physicians of medication refusals or holds, and missing documentation of past fire drills.
Deficiencies (5)
50-5-226-3 Placement in assisted living facilities: there were no physician orders for Category B and/or Category C when residents transitioned to those categories after admission; orders were only obtained at admission.
50-5-1203-1 Procedures, informed consent, physician orders: the safety device consent form for Resident #2 lacked resident or guardian signatures and did not document reason or duration of use.
50-5-1204-3 Long term care facility procedures: there was no indication that quarterly reviews or assessments for safety devices were conducted for residents using such devices, and the administrator was unaware of this requirement.
37.106.2847-1 Medications, practitioner orders: there was no indication that physicians were notified when residents refused or had medications held, as shown by multiple missed medications in February MARs.
37.106.2866-8 Construction, building and fire codes: documentation of past fire drills was not found by the administrator.
Report Facts
date: Feb 18, 2016
count: 5
count: 3
Inspection Report — Aug 12, 2015
Renewal
Date: Aug 12, 2015
Visit Reason
The survey was a renewal inspection of the facility.
Findings
The survey identified multiple deficiencies including missing continuing education for the administrator, incomplete employee files, missing resident documentation, unsafe call light systems, improper medication storage, infection control lapses, food service issues, housekeeping concerns, and physical plant safety hazards.
Deficiencies (14)
37.106.2814-3 Administrator: no continuing education units were located for 2015, only 2.5 hours for 2014.
37.106.2817-2 Employee files: one employee file lacked job description, orientation, ongoing training, Heimlich maneuver, basic first aid, and CPR documentation.
37.106.2817-3 Employee files: an employee file could not be located.
37.106.2829-2 Resident file: three of five resident files lacked admission and annual weights, and no medical documentation was provided for weighing non-weight bearing residents.
37.106.2829-2 Resident file: one resident's file lacked documentation of final transfer, notice to responsible parties, and disposition of personal possessions.
37.106.2838-7 Resident toilets and bathing: the shower room call light alarm must be silenced at the control panel and cannot be silenced at the location; resident bathrooms lacked call light systems.
37.106.2836-1 Furnishings: three residents were not wearing their pendants which alarm only at the control panel and are not silenced at the location; staff reported residents consistently remove them.
37.106.2846-2 Medications, storage and disposal: medications were stored in the kitchen refrigerator on the same shelf as food.
37.106.2855-1 Infection control: an employee did not change gloves or sanitize hands when delivering medications to multiple residents.
37.106.2860-1 Food service: three containers of food in kitchen refrigerators were unlabeled and undated.
37.106.2860-2 Food service: the menu item served lacked a side dish, no other beverages were offered except water and coffee, and the breakfast menu was outdated.
37.106.2860-3 Food service: the current lunch and dinner menu was not posted and only available from another house's staff member.
37.106.2862-1 Housekeeping: cleaning supplies and food were stored together in the pantry, and kitchen garbage was uncovered and overfilled.
37.106.2865-6 Physical plant: the basement stairway gate's keypad was broken and duct taped open, preventing it from being locked and presenting a safety hazard.
Viewing
Loading inspection reports...
