4 Reports
Inspection Report — Jan 8, 2026
Renewal
Date: Jan 8, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (7)
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.
R 325.1923 Employee's health: the facility was unable to produce evidence that Employee 1 was screened for tuberculosis upon hire and Employee 2's tuberculosis screening was outside the required timeframe. Repeat violation.
R 325.1931 Employees; general provisions: files for Employees 3 and 4 lacked any training records. Employee 3 works as a caregiver and Employee 4 works as a med tech.
R 325.1932 Resident medications: multiple medication administration and documentation errors were found for Residents A, B, and C, including missed doses and inconsistent documentation.
R 325.1935 Bedding, linens, and clothing: the facility does not keep a supply of linens, towels, or washcloths for resident use.
R 325.1972 Solid wastes: several garbage containers in the commercial kitchen were uncovered without lids. Repeat violation.
R 325.1976 Kitchen and dietary: some perishable food items in the commercial kitchen’s refrigerator and freezer were not properly stored and lacked labels or dates. Repeat violation.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 12, 2024
Complaint Investigation
Date: Mar 12, 2024
Visit Reason
Investigation of a complaint received on 2024-03-08 about food not served at the proper temperature.
Complaint Details
Food is not served at the proper temperature: established. Additional findings: not established.
Findings
One rule violation was established regarding food safety and temperature documentation.
Deficiencies (1)
R 325.1976 Kitchen and dietary: facility menus and food temperature logs were inconsistent with missing temperatures for hot food items served, and the facility could not provide evidence that food was served warm and at safe temperatures.
Report Facts
Corrective action plan due: 15
Inspection Report — Feb 12, 2024
Renewal
Date: Feb 12, 2024
Visit Reason
License renewal notice; no inspection report attached. Administrative review without an on-site visit.
Findings
The license was renewed following an administrative review that revealed substantial compliance with applicable rules.
Inspection Report — Jan 24, 2005
Original Licensing
Date: Jan 24, 2005
Visit Reason
Original license application for a Home for the Aged with Alzheimer's program.
Findings
The study has determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License length: 6
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