4 Reports
Inspection Report — Apr 14, 2026
Renewal
Date: Apr 14, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (8)
R 325.1922 Admission and retention of residents: the facility was unable to produce evidence that Resident A was screened for tuberculosis within 12 months prior to admission; Resident A moved in on 4/10/24 and TB screening was completed on 4/11/24.
R 325.1932 Resident’s medications: Resident B missed 11 doses of lorazepam from 3/1/26 to 3/6/26; staff documented medication was passed on 3/6/26 despite it being unavailable, constituting a documentation error.
R 325.1953 Menus: a weekly menu was not posted; only items for the current day were observed.
R 325.1972 Solid wastes: multiple garbage cans in the commercial kitchen did not contain lids.
R 325.1976 Kitchen and dietary: perishable food items in the walk-in refrigerator and freezer lacked proper labeling and/or were not sealed to prevent contamination, including beef patties, cheese, dough, and frozen vegetables. Repeat violation established.
R 325.1976 Kitchen and dietary: a thermometer was missing from the refrigerator and/or freezer in apartments 101, 129, 210, 232, and in the memory care kitchen.
R 325.1976 Kitchen and dietary: the facility could not demonstrate routine testing of water temperatures to ensure adequate sanitization of dishes; last documented temperature was recorded on 3/6/26.
R 325.1979 General maintenance and storage: the faucet in Resident C’s kitchenette was loose and becoming detached from the sink.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 20, 2025
Complaint Investigation
Date: Mar 20, 2025
Visit Reason
Investigation of a complaint received on 2025-03-19 about inadequate resident protection.
Complaint Details
Inadequate resident protection: established. Additional findings: not established.
Findings
One rule violation was established related to inadequate resident protection due to insufficient supervision of Resident B, resulting in harm to Resident A.
Deficiencies (1)
R 325.1921 Governing bodies, administrators, and supervisors: the home failed to maintain an organized program to provide protection and supervision, resulting in Resident B assaulting Resident A.
Report Facts
Corrective action plan due: 15
Inspection Report — Jun 10, 2024
Renewal
Date: Jun 10, 2024
Visit Reason
License renewal notice; no inspection report attached. Administrative review without an on-site visit.
Findings
An administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities. The license has been renewed.
Inspection Report — Dec 11, 2019
Original Licensing
Date: Dec 11, 2019
Visit Reason
Original license application for a home for the aged.
Findings
The facility was found in substantial compliance with home for the aged public health code and administrative rules.
Report Facts
License length: 6
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