8 Reports
Inspection Report — Feb 9, 2026
Renewal
Date: Feb 9, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 5 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (4)
R 325.1923 Employee's health: two employees' tuberculosis screenings were completed outside of the required 10 days of hire.
R 325.1954 Meal and food records: meal census and food records from November 2025 to February 2026 were incomplete and/or missing entries, making it impossible to determine the kind or amount of food served.
R 325.1975 Laundry and linen requirements: clean linens were stored with miscellaneous items and soiled linens were stored with garbage and housekeeping items, posing a risk of cross-contamination and fire hazard.
R 325.1976 Kitchen and dietary: dishwasher sanitization logs for January and February 2026 had incomplete or blank entries, preventing verification of proper cleaning and sanitization of dishware and utensils.
Report Facts
Corrective action plan due: 15
Inspection Report — Jun 11, 2025
Complaint Investigation
Date: Jun 11, 2025
Visit Reason
Investigation of a complaint received on 2025-06-10 about Resident A being restrained resulting in bruising.
Complaint Details
Resident A was restrained by facility staff resulting in bruising: not established. Additional findings: not established.
Findings
No violation was established regarding the allegation that Resident A was restrained by facility staff resulting in bruising. The facility followed appropriate procedures including notification and staff re-education.
Inspection Report — Sep 25, 2024
Renewal
Date: Sep 25, 2024
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 4 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (4)
R 325.1922 Admission and retention of residents: one resident's tuberculosis screening could not be found in the record as required within 12 months before admission.
R 325.1923 Employee's health: one employee's tuberculosis screening was not found in the record and it could not be determined if it was completed within 10 days of hire and before occupational exposure.
R 325.1932 Resident medications: Employee A was observed leaving the medication cart unlocked and unattended when administering medication in the common area.
R 325.1979 General maintenance and storage: industrial chemicals were easily accessible in the memory care unit kitchenette and common area, posing a risk to residents with impaired cognition.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee A | Named in the medication cart unsecured finding |
Inspection Report — Jun 25, 2024
Complaint Investigation
Date: Jun 25, 2024
Visit Reason
Investigation of a complaint received on 2024-06-24 about unattended resident, call button failure, medical attention, service plan compliance, and medication administration.
Complaint Details
Resident A left unattended outside: established. Call buttons do not work: established. Emergency medical attention not sought: not established. Resident A's service plan not followed: established. Medications not administered appropriately: established. Additional findings: established.
Findings
Five violations were established related to resident supervision, call button monitoring, service plan omissions, medication administration timing, and medication log documentation. One allegation regarding medical attention was not established.
Deficiencies (5)
R 325.1921 Governing bodies, administrators, and supervisors: Resident A was left unattended outside contrary to the service plan which omitted this restriction, failing to ensure safety and protection.
R 325.1921 Governing bodies, administrators, and supervisors: Resident A's call button system was not adequately monitored as the service plan lacked frequency of monitoring details.
R 325.1931 Employees; general provisions: Resident A's service plan omitted necessary details about assistance with activities of daily living and provision of flavored water, resulting in lack of specific care instructions.
R 325.1932 Resident medications: Resident A was administered Melatonin gummy at 5:42pm, outside the prescribed bedtime window of 7:00-10:00pm.
R 325.1932 Resident Medications: The medication technician did not initial the medication administration log for Resident A's Quetiapine on 07/02/2024.
Report Facts
Corrective action plan due: 15
Inspection Report — Aug 14, 2023
Renewal
Date: Aug 14, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility is in compliance with all applicable rules and statutes.
Inspection Report — Jul 24, 2023
Complaint Investigation
Date: Jul 24, 2023
Visit Reason
Investigation of a complaint received on 2023-05-24 about a staff member stealing a resident’s fentanyl patch.
Complaint Details
A staff member stole a resident’s fentanyl patch: established. Additional findings: none.
Findings
One rule violation was established due to inconsistent medication administration records for fentanyl patches for two residents, making it unclear if the medication was properly administered.
Deficiencies (1)
R 325.1932 Resident medications: the facility could not ensure that prescription medication was not used by a person other than the resident due to inconsistent documentation between electronic and paper medication administration records for Residents A and B.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 26, 2019
Date: Sep 26, 2019
Visit Reason
Increase capacity from 42 to 61 residents by adding a new wing with 19 resident rooms, including three double occupancy rooms.
Findings
The facility's newly added south west wing was inspected and found suitable for resident occupancy. The license capacity increase to 61 is recommended.
Report Facts
Inspection date: Sep 26, 2019
Fire safety approval date: Jul 23, 2019
Inspection Report — Feb 28, 2019
Original Licensing
Date: Feb 28, 2019
Visit Reason
Original license application for a home for the aged with an Alzheimer's program.
Findings
The study determined substantial compliance with applicable home for the aged licensing statutes and administrative rules.
Report Facts
License length: 6
Room size: 181
Room size: 212
Room size: 315
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