4 Reports
Inspection Report — Nov 24, 2025
Complaint Investigation
Date: Nov 24, 2025
Visit Reason
Investigation of a complaint received on 2025-11-21 about facility operations and resident care.
Complaint Details
Dustin Tatroe, Kitchen Manager, worked as a caregiver without caregiver or medication training: not established. Additional findings: fire drill during sleeping hours not conducted — established.
Findings
One rule violation was established regarding the failure to conduct a fire drill during the sleeping hours in the 4th quarter of 2025. The allegation that a staff member worked as a caregiver without training was not established.
Deficiencies (1)
R 400.619 Emergency preparedness plan: the facility did not provide records to demonstrate that fire drills were conducted during the sleeping hours in the 4th quarter of 2025.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dustin Tatroe | Kitchen Manager | Named in the allegation and investigation regarding caregiver training and fire drill assistance |
Inspection Report — Apr 22, 2025
Renewal
Date: Apr 22, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 3 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (3)
R 400.15301 Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal: Resident B was admitted on August 27, 2024, and the written assessment plan was completed on September 20, 2024. The assessment plan was not completed at the time of admission for Resident B.
R 400.15315 Handling of resident funds and valuables: The Resident Funds Part II forms were not completed and contained within the files for Resident A, Resident B, and Resident C. Additionally, there was no documentation available for review, granting the licensee authorization to utilize a substitute form.
R 400.15403 Maintenance of premises: The floor in the heat plant room was not in good condition and required repair or replacement.
Report Facts
Corrective action plan due: 15
Inspection Report — Jan 9, 2024
Complaint Investigation
Date: Jan 9, 2024
Visit Reason
Investigation of a complaint received on 2024-01-05 about Resident A's care and facility conditions.
Complaint Details
Resident A's personal clothing and hygiene products missing: not established. Direct care staff not following physician's order for foot care: not established. Alternating pressure mattress not working properly: not established. Resident A not provided diabetic diet: established. Resident A's personal care not attended regularly: not established. Carpet stained and in poor repair: not established. Additional findings: diabetic diet and assessment plan not updated, Inventory of Valuables form missing — established.
Findings
One rule violation was established regarding Resident A not being provided a diabetic diet as ordered by his physician. Two additional violations were established for failure to update the resident assessment plan and lack of an Inventory of Valuables form. All other allegations were not substantiated.
Deficiencies (3)
R 400.15313 Resident nutrition: Resident A was ordered a diabetic diet on 12/5/22 but the diet was not implemented or documented in the dietary orders or assessment plan, and direct care staff did not have adequate knowledge of the diabetic diet.
R 400.15301 Resident admission criteria; resident assessment plan; physician's instructions: Resident A's assessment plan was not updated to include the diabetic diet ordered on 12/5/22, resulting in inadequate plan of care documentation.
R 400.15315 Handling of resident funds and valuables: An Inventory of Valuables form was not on file for Resident A as required.
Report Facts
Corrective action plan due: 15
Inspection Report — Oct 20, 2020
Original Licensing
Date: Oct 20, 2020
Visit Reason
Original license application for a 20-bed adult foster care facility serving aged residents including those with Alzheimer's disease.
Findings
Compliance with the licensing act and administrative rules related to the physical plant has been determined. Compliance with administrative rules related to quality of care will be assessed during the temporary license period.
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