1 Report
Inspection Report — Nov 20, 2025
Routine
Date: Nov 20, 2025
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with health care regulations.
Findings
Three deficiencies were found related to infection control, administrator qualifications, and incident reporting.
Deficiencies (3)
.335.02 Standard Precautions: a medication technician administered medications to multiple residents without hand hygiene between each medication pass, contrary to infection control standards.
39-3321.4 Qualifications and Requirements of Administrator: the administrator did not immediately implement corrective actions to prevent repeated incidents and accidents, including multiple falls by residents.
39-3321.5 Qualifications and Requirements of Administrator: the facility failed to notify the licensing agency within one business day of reportable incidents involving resident falls and injuries.
Report Facts
: 13
: 6
: 6
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