Inspection Reports for
The Windsor of Lawrence

KS, 66049

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Deficiencies (last 9 years)

Deficiencies (over 9 years) 5.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

13% better than Kansas average
Kansas average: 6 deficiencies/year

Deficiencies per year

16 12 8 4 0
2014
2015
2017
2019
2020
2021
2022
2023
2024

Occupancy

Latest occupancy rate 84% occupied

Based on a December 2024 inspection.

Occupancy rate over time

40% 60% 80% 100% May 2014 Apr 2019 Apr 2021 Aug 2021 Oct 2023 Dec 2024

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Dec 30, 2024

Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-12-10.

Findings
All deficiencies have been corrected as of the compliance date of 2024-12-27, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Inspection Report

Re-Inspection
Census: 37 Deficiencies: 6 Date: Dec 10, 2024

Visit Reason
The inspection was a resurvey with attached complaints at the assisted living facility conducted on 12/09/24 and 12/10/24 to verify correction of previous deficiencies and investigate complaints.

Complaint Details
This resurvey included attached complaints 190424, 191933, 191936, 192103, and 188173.
Findings
The facility failed to accurately reflect residents' functional capacity for medication management, complete timely negotiated service agreements upon change of condition, conduct proper assessments for bed assist device safety, document incidents and injuries adequately, store food safely with proper labeling and dating, and secure chemicals in locked areas to protect residents' health and safety.

Deficiencies (6)
KAR 26-41-201(d): Facility staff failed to ensure the Functional Capacity Screen accurately reflected residents' medication management capacity for Residents 1, 2, and 3.
KAR 26-41-202(d): Facility staff failed to complete Negotiated Service Agreements based on residents' Functional Capacity Screen and change of condition for Residents 3 and 4.
KAR 26-41-204(i): Licensed nurse failed to complete assessment for safe use of bed assist device for Resident 1, and a gap greater than 4.75 inches between bed rails was not covered to prevent entrapment.
KAR 26-41-105(f)(11): Licensed staff failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results when Resident 4 was transported to the hospital.
KAR 26-41-206(e): Facility staff failed to store food under safe and sanitary conditions; multiple food items lacked date labels or were past seven-day discard period.
KAR 28-39-254(a): Facility failed to ensure all chemicals were stored within locked areas to protect health and safety of residents and visitors.
Report Facts
Census: 37 Gap size: 5.5 Pain rating: 5 Food item dates: 7

Employees mentioned
NameTitleContext
Certified Nurse Aide DStated Certified Medication Aide administered Resident 1's medications
Certified Medication Aide CAdministered medications to Residents 1 and 2 and described medication management
Administrative Nurse BAdministrative NurseConfirmed inaccuracies in Functional Capacity Screens, lack of assessments, and documentation failures
Administrative Staff AAdministrative StaffConfirmed food items lacked proper labeling and chemicals were not stored in locked areas

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Dec 9, 2024

Visit Reason
This document represents the plan of correction for a resurvey with attached complaints conducted at the assisted living facility on December 9 and 10, 2024.

Findings
The plan of correction addresses findings from a resurvey and multiple attached complaints identified during the inspection visit on December 9 and 10, 2024.

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Nov 8, 2023

Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-10-18.

Findings
All deficiencies have been corrected as of the compliance date of 2023-11-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Inspection Report

Complaint Investigation
Census: 22 Deficiencies: 9 Date: Oct 18, 2023

Visit Reason
The inspection was a resurvey with complaints numbered 174632, 175415, 177549, 177995, and 179464 at an assisted living facility.

Complaint Details
The inspection was a resurvey with complaints 174632, 175415, 177549, 177995, and 179464.
Findings
The facility failed to fully develop negotiated service agreements for residents, ensure provision of specified health care and housekeeping services, properly label and store medications, maintain timely employee registry verifications, document resident incidents, and maintain safe water temperatures.

Deficiencies (9)
KAR 26-41-202(a)(1) The facility failed to ensure negotiated service agreements fully addressed all items triggered in the Functional Capacity Screen for residents R102 and R103.
KAR 26-41-203(a)(2)(3) The facility failed to ensure resident R104 received health care services based on licensed nurse assessment and housekeeping services essential for health, comfort, and safety.
KAR 26-41-204(d) The facility failed to identify the licensed nurse responsible for implementation and supervision of health care service plans in negotiated service agreements for residents R101, R102, and R103.
KAR 26-41-205(g)(3) The facility failed to ensure over-the-counter medications were labeled with the resident's full name by a licensed pharmacist or nurse for six residents.
KAR 26-41-205(g)(2) The facility failed to ensure prescription medication containers had labels provided by a dispensing pharmacist for multiple residents.
KAR 26-41-205(h) The facility failed to ensure medications were stored according to manufacturer recommendations, including an unmarked opened vial of TUBERSOL.
KAR 26-41-102(d)(4) The facility failed to ensure timely verification of nurse aide registry checks for three of five newly hired employees.
KAR 26-41-105(f)(11) The facility failed to document all incidents, actions taken, and results for resident R106, including fall investigations.
KAR 28-39-256(c)(2)(B) The facility failed to ensure water temperatures in resident use areas did not exceed 120 degrees Fahrenheit, with multiple readings above this limit.
Report Facts
Census: 22 Hot water temperature readings: 127 Hot water temperature exceedances: 20 Hot water temperature exceedances: 22 Hot water temperature exceedances: 20 Hot water temperature exceedances: 10 Days late for nurse aide registry check: 22 Days late for nurse aide registry check: 35

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Oct 17, 2023

Visit Reason
This document is a plan of correction submitted in response to a resurvey with complaints numbered 174632, 175415, 177549, 177995, and 179464 at an assisted living facility conducted on 10/17/23 and 10/18/23.

Findings
The plan of correction addresses findings from a resurvey conducted following multiple complaints at the assisted living facility on the specified dates.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jun 6, 2022

Visit Reason
The document addresses findings from an abbreviated survey conducted on 06/06/2022 and 06/07/2022 related to multiple complaints against the facility.

Complaint Details
The survey was conducted in response to complaints #172267, 170473, 169834, 169841, 169332, 168577, 167868, 167874, 167498, and 166058.
Findings
An offsite revisit survey on 06/10/2022 confirmed all previously cited deficiencies from 06/07/2022 were corrected by 06/09/2022, with no new noncompliance found. The facility is in compliance with all surveyed regulations.

Inspection Report

Abbreviated Survey
Census: 37 Deficiencies: 1 Date: Jun 6, 2022

Visit Reason
The inspection was conducted as an abbreviated survey for multiple complaints against the facility.

Complaint Details
The survey was triggered by multiple complaints (#172267, 170473, 169834, 169841, 169332, 168577, 167868, 167874, 167498, and 166058). The allegation of abuse was investigated and found unsubstantiated, but the facility did not report the allegation to the department within the required 24-hour timeframe.
Findings
The facility failed to report an allegation of abuse involving a resident to the department within 24 hours as required by regulations. The investigation was completed with an unsubstantiated outcome, but the reporting requirement was not met.

Deficiencies (1)
KAR 26-41-101 (f)(3) Staff Treatment of Residents Reporting: The facility failed to report an allegation of abuse involving a resident to the department within 24 hours of notification.
Report Facts
Resident census: 37 Complaints investigated: 10

Employees mentioned
NameTitleContext
Regional Licensed Nurse BRegional Licensed NurseInvestigated the alleged abuse and confirmed failure to report to the department.
Residence Director FResidence DirectorConfirmed via email that the allegation of abuse was not reported within 24 hours.

Inspection Report

Follow-Up
Deficiencies: 4 Date: Sep 21, 2021

Visit Reason
This revisit inspection was conducted to verify correction of previously cited deficiencies at the facility.

Findings
All previously reported deficiencies identified by regulation numbers 26-41-101(j), 26-41-204(i), 26-41-205(d)(1-2), and 26-41-207(a)(b) were corrected as of the revisit date.

Deficiencies (4)
Regulation 26-41-101(j): Previously cited deficiency corrected as of 09/21/2021.
Regulation 26-41-204(i): Previously cited deficiency corrected as of 09/21/2021.
Regulation 26-41-205(d)(1-2): Previously cited deficiency corrected as of 09/21/2021.
Regulation 26-41-207(a)(b): Previously cited deficiency corrected as of 09/21/2021.

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 4 Date: Aug 25, 2021

Visit Reason
The inspection was an abbreviated survey conducted in response to complaint #164579 at an assisted living facility.

Complaint Details
The investigation was triggered by complaint #164579. The complaint was substantiated as evidenced by multiple deficiencies found related to emergency telephone access, nursing assessments post-fall, medication administration, and infection control.
Findings
The facility failed to ensure emergency telephones were available in cottages, did not provide licensed nurse assessments after a resident's fall, failed to administer medications according to physician orders, and did not maintain sanitary conditions in resident bathrooms and food service areas.

Deficiencies (4)
26-41-101 (j) Emergency telephone. The operator failed to ensure the cottages had a working telephone for resident and staff emergency use.
26-41-204 (i) Health Care Services Standards of Practice. The operator/licensed nurse failed to ensure a licensed nurse assessed a resident after an unwitnessed fall despite complaints of back pain and increased agitation.
26-41-205 (d) Facility Administration of Medications. The operator/RN failed to ensure medications were administered according to medical orders and professional standards for one resident.
26-41-207 (a)(b) Infection Control. The operator failed to maintain a safe, sanitary environment by not properly cleaning a resident's bathroom and failing to ensure staff sanitized silverware and drinking cups in the cottages.
Report Facts
Resident census: 35 Residents sampled: 3 Residents affected by emergency phone deficiency: 4 Dates of survey: Survey conducted on 8-18, 8-23, 8-24, and 8-25 of 2021.

Inspection Report

Follow-Up
Deficiencies: 2 Date: Jul 22, 2021

Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at the facility.

Findings
The report shows that previously cited deficiencies identified by regulation numbers 26-41-202(d) and 26-41-205(d)(1-2) have been corrected as of 07/21/2021.

Deficiencies (2)
Regulation 26-41-202(d) deficiency was corrected by 07/21/2021.
Regulation 26-41-205(d)(1-2) deficiency was corrected by 07/21/2021.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 21, 2021

Visit Reason
An abbreviated survey was conducted at the assisted living facility for complaint investigation #163802 on 2021-07-21 and 2021-07-22.

Complaint Details
Complaint investigation #163802 was substantiated with no deficiency citations.
Findings
The allegation was found to be substantiated with no deficiency citations.

Inspection Report

Complaint Investigation
Census: 38 Deficiencies: 2 Date: Jun 29, 2021

Visit Reason
The inspection was an abbreviated survey conducted in response to multiple complaints (#163197, 163265, 162987, 162590, and 162463) regarding the facility.

Complaint Details
The investigation was triggered by complaints numbered 163197, 163265, 162987, 162590, and 162463. The findings substantiated failures in updating service agreements and medication administration practices.
Findings
The facility failed to update the negotiated service agreement for resident #1 to reflect changes in behavior and therapy needs after a fall. Additionally, licensed nurse C and certified medication aide A failed to administer medications properly and timely to residents #1, #2, and #3, including failure to locate medications and late administration times.

Deficiencies (2)
KAR 26-41-202 (d) (2) The facility failed to update the negotiated service agreement for resident #1 to reflect changes in behaviors, unsteadiness, and ordered occupational/physical therapy after a fall with injury.
KAR 26-41-205 (d) The facility failed to ensure licensed nurse C and certified medication aide A administered medications to resident #1 in accordance with professional standards, including knowing medication locations and timely administration for residents #2 and #3.
Report Facts
Resident census: 38 Medications not administered: 4 Medication administration delays: Multiple instances of late medication administration times for residents #2 and #3 documented in June 2021.

Employees mentioned
NameTitleContext
Licensed nurse CNamed in findings related to failure to administer medications properly and failure to update negotiated service agreement.
Certified medication aide ANamed in findings related to failure to administer medications properly and failure to notify licensed nurse of missing medications.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Apr 28, 2021

Visit Reason
This document is a Plan of Correction related to deficiencies cited in a prior inspection report dated 2021-04-28 for the facility The Windsor of Lawrence.

Findings
No specific findings or deficiencies are detailed in this Plan of Correction document. It references a linked deficiency report but contains no records or descriptions itself.

Inspection Report

Renewal
Census: 36 Deficiencies: 2 Date: Apr 28, 2021

Visit Reason
The inspection was a licensure resurvey combined with multiple complaint investigations for the facility.

Complaint Details
The inspection included complaint investigations with complaint numbers 161840, 160466, 157199, 157095, 155810, 155515, 155410, 151406, 151358, 148628, and 145432.
Findings
The facility failed to report an allegation of sexual abuse within 5 working days as required and failed to ensure a licensed nurse performed an assessment for a resident self-administering medication. These deficiencies were identified through record reviews and interviews.

Deficiencies (2)
KAR 26-41-101 (f)(3) The operator failed to report an allegation of sexual abuse for resident #113 to the department within 5 working days of the initial report.
KAR 26-41-205 (a)(1) The operator failed to ensure a licensed nurse performed an assessment on resident #576 to determine if the resident could safely and accurately self-administer medications without staff assistance.
Report Facts
Resident census: 36

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Jul 16, 2020

Visit Reason
The facility underwent a special infection control survey for COVID-19.

Findings
The survey conducted on 07/16/2020 resulted in findings of no deficiency citations.

Inspection Report

Plan of Correction
Census: 32 Deficiencies: 1 Date: Jun 10, 2019

Visit Reason
The inspection was conducted to assess compliance with nursing delegation requirements under the Kansas nurse practice act, specifically regarding medication administration procedures delegated to certified medication aides.

Findings
The facility failed to ensure that a licensed nurse properly delegated the procedure of insulin pen injection to certified medication aides as required. A certified medication aide administered insulin without documented competency for this delegated task.

Deficiencies (1)
KAR 26-41-204(e) Delegation of Duties: The facility failed to ensure the licensed nurse delegated the insulin pen injection procedure to medication aides under the Kansas nurse practice act. A certified medication aide administered insulin without a competency exam for this task.
Report Facts
Resident census: 32 Sampled residents: 3

Inspection Report

Re-Inspection
Deficiencies: 3 Date: Jun 10, 2019

Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.

Findings
All previously cited deficiencies identified by regulation numbers 26-41-105 (f)(11), 26-41-104 (d), and 26-41-207 (b)(5-6)(c) were corrected as of the revisit date.

Deficiencies (3)
Regulation 26-41-105 (f)(11): Previously cited deficiency corrected as of 2019-06-10.
Regulation 26-41-104 (d): Previously cited deficiency corrected as of 2019-06-10.
Regulation 26-41-207 (b)(5-6)(c): Previously cited deficiency corrected as of 2019-06-10.

Inspection Report

Renewal
Census: 28 Deficiencies: 4 Date: Apr 30, 2019

Visit Reason
The inspection was conducted for re-licensure with attached complaints at the assisted living facility.

Complaint Details
The survey included attached complaints related to delegation of duties and documentation failures.
Findings
The facility was found deficient in delegation of nursing duties, documentation of incidents, disaster and emergency preparedness, infection control policies, and tuberculosis screening compliance.

Deficiencies (4)
KAR 26-41-204(e) Delegation of Duties: The operator failed to ensure licensed nurses delegated nursing procedures such as accuchecks and insulin injections to medication aides with documented competency exams.
KAR 26-41-105(f)(11) Resident Record Documentation of Incidents: The operator failed to ensure documentation of all incidents including date, time, action taken, and results for sampled residents.
KAR 26-41-104(d) Disaster and Emergency Preparedness: The operator failed to ensure quarterly review of the emergency management plan with staff and residents and failed to conduct evacuation drills.
KAR 26-41-207(c) Infection Control Policies: The operator failed to ensure compliance with tuberculosis guidelines including timely TB symptom screening and testing for certified staff.
Report Facts
Resident census: 28 Sampled residents: 3 Closed review residents: 2

Inspection Report

Re-Inspection
Deficiencies: 2 Date: Jul 14, 2017

Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.

Findings
The report confirms that previously cited deficiencies identified by regulation numbers 26-41-204 (a) and 26-41-204 (d) have been corrected as of the revisit date.

Deficiencies (2)
Regulation 26-41-204 (a) deficiency was corrected by the revisit date.
Regulation 26-41-204 (d) deficiency was corrected by the revisit date.

Inspection Report

Re-Inspection
Census: 29 Deficiencies: 3 Date: May 11, 2017

Visit Reason
The inspection was a licensure re-survey with attached complaints at the assisted living facility in Lawrence, Kansas, conducted on 2017-05-09 through 2017-05-11.

Findings
The facility failed to ensure that a licensed nurse provides or coordinates necessary health care services in accordance with functional capacity screenings and negotiated service agreements. The negotiated service agreements lacked the name of the licensed nurse responsible for implementation and supervision. Additionally, documentation of incidents, symptoms, and indications of illness or injury was incomplete, lacking date, time, action taken, and results.

Deficiencies (3)
KAR 26-41-204(a) The operator failed to ensure a licensed nurse provides or coordinates necessary health care services meeting each resident's needs per functional capacity screening and negotiated service agreement.
KAR 26-41-204(d) The negotiated service agreement lacked the name of the licensed nurse responsible for implementation and supervision of the health care service plan for all residents requiring health care services.
KAR 26-41-105(f)(11) The facility failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results of the action for residents #513 and #514.
Report Facts
Census: 29

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Oct 8, 2015

Visit Reason
Licensure resurvey with investigation of complaints at the assisted living facility.

Complaint Details
The visit was complaint-related but resulted in no deficiency citations.
Findings
The inspection resulted in a finding of no deficiency citations on 2015-10-07 and 2015-10-08.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Jun 10, 2014

Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.

Findings
The report confirms that all previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.

Inspection Report

Re-Inspection
Census: 37 Deficiencies: 4 Date: May 15, 2014

Visit Reason
The inspection was a resurvey with complaint investigations 75002 and 71025 conducted at the assisted living facility on 2014-05-13, 2014-05-14, and 2014-05-15.

Complaint Details
The inspection included complaint investigations 75002 and 71025.
Findings
The facility was found deficient in disaster and emergency preparedness due to failure to perform quarterly reviews of the emergency management plan with residents. Food preparation records lacked documentation of proper food temperatures. Some apartments did not meet building interior requirements for sleeping areas with windows and living areas. Hot water temperatures in resident areas exceeded the required maximum temperature range.

Deficiencies (4)
26-41-104(d) Disaster and Emergency Preparedness. The administrator failed to ensure quarterly review of the facility's emergency management plan with residents.
26-41-206(d) Food Preparation. The administrator failed to ensure food was prepared using safe methods conserving nutritive value, flavor, and appearance and served at proper temperatures due to missing temperature documentation.
28-39-254(g)(1)(A)(B) Building Interior. The operator failed to provide a sleeping area with a window for ventilation and a living area for residents sharing apartments.
28-39-256(c)(2)(B) Mechanical Requirements. The operator failed to ensure hot water temperatures ranged between 98°F and 120°F in resident use areas, with observed temperatures exceeding 130°F.
Report Facts
Resident census: 37 Hot water temperature: 132.4 Hot water temperature: 130.8 Hot water temperature: 131.7 Hot water temperature: 130.8

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 2V1F11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It serves solely as a record of the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC JTH811

Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified by State ID N023017 and Event ID JTH811.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC JTH812

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as JTH812 for facility State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 5B6P11

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a placeholder for the Plan of Correction linked to a previous inspection.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 5B6P12

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as 5B6P12 for the facility with State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC K76S11

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as K76S11 for the facility with State ID N023017.

Findings
No deficiency details or findings are included in this document. It serves as a placeholder or record for the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 5G2111

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for The Windsor of Lawrence facility.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC RV6T11

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as RV6T11 for the facility with State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 5G2112

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.

Findings
No deficiencies or findings are detailed in this document. It serves only as a record of the Plan of Correction status with no specific content provided.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC RV6T12

Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory finding for the facility identified by State ID N023017 and Event ID RV6T12.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC RV6T13

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC RV6T14

Visit Reason
This document serves as a Plan of Correction related to a prior inspection event identified as RV6T14 for the facility with State ID N023017.

Findings
No specific deficiencies or findings are detailed in this document. It only references the Plan of Correction submission and provides contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC VPH411

Visit Reason
This document is a plan of correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the plan of correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC K76S12

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as K76S12 for the facility with State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document. It serves as a corrective action response to previous inspection findings.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 5U1611

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a regulated care facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a record of the Plan of Correction submission and modification dates.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 7SSD11

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility The Windsor of Lawrence dated 4/30/2019.

Findings
No specific findings or deficiencies are detailed in this Plan of Correction document. It serves as a corrective action response to previously identified deficiencies.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 7SSD12

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a corrective action plan linked to a previous deficiency report.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 8GYL11

Visit Reason
This document is a Plan of Correction related to deficiencies cited in a prior inspection report for the facility.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a corrective action response to a previous inspection.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 8GYL12

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.

Findings
No deficiency details are provided in this document. It only references the Plan of Correction with no records found.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC D4VN11

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC D4VN12

Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as State ID N023017.

Findings
No deficiency details or findings are included in this document. It serves solely as a Plan of Correction submission with no records found linked.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC EZQ911

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as EZQ911 for facility State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC GFOZ11

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a corrective action plan reference.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC GH4U11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC I0S811

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as Event ID I0S811 for the facility with State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC IR4D11

Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory finding for the facility identified as State ID N023017.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC 2GBV11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No specific deficiencies or findings are detailed in this document. It serves as a corrective action plan submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N023017 POC IR4D12

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

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