6 Reports
Inspection Report — Sep 26, 2025
Complaint Investigation
Date: Sep 26, 2025
Visit Reason
Investigation of a complaint received on 2025-09-25 about care and cleanliness concerns for Resident A and the care of Resident A's cat.
Complaint Details
Resident A’s cat is not cared for: established. Resident A does not receive showers and is not clean: not established. Resident A’s room is not clean: not established. Additional findings: none.
Findings
Two violations were established related to Resident A's cat care and the updating of the resident's service plan. One allegation about Resident A not receiving showers and another about the cleanliness of Resident A's room were not substantiated.
Deficiencies (1)
R 325.1922 Admission and retention of residents: the facility did not appropriately describe the care of Resident A's cat in the resident's service plan.
Report Facts
Corrective action plan due: 15
Inspection Report — May 8, 2025
Complaint Investigation
Date: May 8, 2025
Visit Reason
Investigation of a complaint received on 2025-05-07 about medication administration and fall assessment.
Complaint Details
Resident A fall assessment and family notification: not established. Resident B went 24 hours without medication: established. Additional findings: not established.
Findings
One rule violation was established related to medication administration; one allegation regarding fall assessment was not established.
Deficiencies (1)
R 325.1932 Resident medications: the facility failed to administer medications to Resident B as prescribed, missing doses due to pharmacy refill system errors and blank medication administration records.
Report Facts
Corrective action plan due: 15
Inspection Report — Jun 5, 2024
Renewal
Date: Jun 5, 2024
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 3 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (3)
R 325.1921 Governing bodies, administrators, and supervisors: inspection revealed one of the medication carts in the dining room near a sitting area was unlocked with several residents nearby, which is not consistent with an organized program of protection.
R 325.1976 Kitchen and dietary: uncovered food items were stored on a cooling rack in the walk-in refrigerator, not protected against potential contamination.
R 325.1979 General maintenance and storage: oxygen tanks were not secured upright in the required crates, putting them at risk of tipping over.
Report Facts
Corrective action plan due: 15
Inspection Report — Dec 14, 2023
Complaint Investigation
Date: Dec 14, 2023
Visit Reason
Investigation of a complaint received on 2023-12-14 about Resident A's falls, cognitive decline, and undiagnosed urinary tract infection.
Complaint Details
Undiagnosed urinary tract infection resulting in falls and cognitive decline: not established. Additional findings: failure to ensure protection after cognitive decline and increased falls — established.
Findings
One violation was established for failure to ensure protection of Resident A after an increase in falls and cognitive decline was not addressed or communicated to the physician. The allegation of an undiagnosed urinary tract infection was not established.
Deficiencies (1)
R 325.1921 Governing bodies, administrators, and supervisors: the facility did not take reasonable action to ensure the protection of Resident A after an increase in falls and cognitive decline was not addressed nor communicated to Resident A’s physician.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 8, 2023
Complaint Investigation
Date: Sep 8, 2023
Visit Reason
Investigation of a complaint received on 09/08/2023 about the facility not allowing Resident A to return from the hospital.
Complaint Details
The facility would not allow Resident A to return to the facility from the hospital on 9/8/23: established.
Findings
One rule violation was established regarding the facility's failure to properly discharge Resident A according to rule R 325.1922.
Deficiencies (1)
R 325.1922 Admission and retention of residents: the facility discharged Resident A without locating an alternate placement and did not comply with required notification and discharge procedures.
Report Facts
Corrective action plan due: 15
Inspection Report — Jun 4, 2019
Original Licensing
Date: Jun 4, 2019
Visit Reason
Original license application for a home for the aged facility.
Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules.
Report Facts
License length: 6
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