6 Reports
Inspection Report — Jan 27, 2026
Complaint Investigation
Date: Jan 27, 2026
Visit Reason
Investigation of Complaint #131292-C regarding service plan deficiencies.
Complaint Details
Complaint #131292-C
Findings
The program failed to ensure initial and updated service plans were signed and dated by all required parties for two tenants reviewed. The facility acknowledged issues with accessing digitally signed plans and plans to print hard copies for signatures going forward.
Violations (2)
481-69.26(2) Service Plans: The program failed to ensure an initial service plan was signed and dated by all parties for Tenant #1. The service plan print dated 1/27/26 lacked signatures from Tenant #1 and program representatives.
481-69.26(3)a Service Plans: The program failed to ensure service plans related to significant changes were signed and dated by all parties for Tenant #2. A service plan signed by the Director of Nursing on 11/10/25 was not signed by Tenant #2.
Inspection Report — Dec 18, 2025
Complaint Investigation
Date: Dec 18, 2025
Visit Reason
Investigation of Complaint #130559-C.
Complaint Details
Complaint #130559-C
Findings
No regulatory insufficiencies were cited during the investigation.
Inspection Report — Apr 8, 2025
Renewal
Date: Apr 8, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 39
Number of tenants with cognitive impairment: 1
Inspection Report — Sep 28, 2023
Complaint Investigation
Date: Sep 28, 2023
Visit Reason
The inspection was conducted as part of an investigation into Complaint #111442-C regarding regulatory insufficiencies at the assisted living program.
Complaint Details
The visit was triggered by Complaint #111442-C. The complaint involved failure to complete incident reporting and failure to notify family members promptly about Tenant C1's emergency hospitalization. The complaint was substantiated based on interviews and record reviews.
Findings
The program failed to complete an incident report for a medical emergency involving Tenant C1 and did not follow established policies for family notification during emergency situations. The tenant was transferred to the hospital for asthma exacerbation and other complications, but the family was not promptly notified by the program staff.
Violations (2)
Failure to complete an incident report form for Tenant C1's medical emergency.
Failure to follow established policy on family notifications during emergency situations for Tenant C1.
Report Facts
Number of tenants without cognitive disorder: 45
Number of tenants with cognitive disorder: 1
Inspection Report — Jan 26, 2023
Renewal
Date: Jan 26, 2023
Visit Reason
Recertification visit conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 47
Number of tenants with cognitive disorder: 2
Inspection Report — Jul 16, 2020
Routine
Date: Jul 16, 2020
Visit Reason
The inspection was conducted as an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the infection control survey completed on 7/16/2020.
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