5 Reports
Inspection Report — Feb 20, 2025
Renewal
Date: Feb 20, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in noncompliance with 3 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (3)
R 325.1964 Interiors: the vents in Rooms 146, 157, 120, 115, 247, 238 and the janitor closet in memory care did not provide discernable air flow.
R 325.1970 Water supply systems: the temperature was not always at the range of 105 to 120 degrees. For example, Room 153 water temperature was 95.9, Room 157 water temperature was 122.5 and Room 146 temperature was 121.3.
R 325.1976 Kitchen and dietary: during the onsite inspection, refrigerators in residents’ rooms number 120 and 157 did not have thermometers.
Report Facts
Corrective action plan due: 15
Inspection Report — Apr 4, 2024
Renewal
Date: Apr 4, 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 — Oct 13, 2023
Complaint Investigation
Date: Oct 13, 2023
Visit Reason
Investigation of a complaint received on 2023-10-13 about Resident A lacking care and protection.
Complaint Details
Resident A lacked care and protection: established. Additional findings: not established.
Findings
One violation was established related to Resident A's care not being consistent with her service plan and the plan not being updated to reflect her behavioral needs.
Deficiencies (1)
R 325.1931 Employees; general provisions: Resident A's care was not always consistent with her service plan and the plan was not updated to reflect her behavioral needs.
Report Facts
Corrective action plan due: 15
Inspection Report — Oct 5, 2023
Complaint Investigation
Date: Oct 5, 2023
Visit Reason
Investigation of a complaint received on 2023-10-05 about inadequate protection and supervision for Resident A.
Complaint Details
Inadequate protection and supervision for Resident A: established. Additional findings: not established.
Findings
One violation was established regarding inadequate protection and supervision of Resident A after an incident where Resident B dragged Resident A from her room into the hallway and subsequent inadequate supervision of Resident B upon return to the facility.
Deficiencies (2)
R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain an organized program to provide protection and supervision for residents as Resident B dragged Resident A into the hallway and was inadequately supervised upon return.
R 325.1922 Admission and retention of residents: the facility did not update Resident B's and Resident A's service plans to reflect significant changes in care needs and supervision requirements after the incident.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 1, 2021
Original Licensing
Date: Sep 1, 2021
Visit Reason
Original license application for a home for the aged with Alzheimer's and aged care programs.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules; a temporary license with a maximum capacity of 147 beds was issued.
Report Facts
License length: 6
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