4 Reports
Inspection Report — Mar 3, 2026
Renewal
Date: Mar 3, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 3 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (3)
R 325.1932 Resident medications: medication administration records lacked documented reasons for PRN medications and inconsistent staff initials; insulin doses were not always consistent with orders. Repeat violation established.
R 325.1976 Kitchen and dietary: inspection revealed expired meat in the refrigerator and unlabeled muffins in the freezer, with some frozen items appearing expired.
R 325.1979 General maintenance and storage: multiple oxygen tanks were unsecured and stored without appropriate holders in the oxygen storage room.
Report Facts
Corrective action plan due: 15
Inspection Report — Aug 23, 2023
Renewal
Date: Aug 23, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 2 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (2)
R 325.1932 Resident medications: medication orders for Residents A, B, and E lacked specific written instructions for as needed medications and staff did not always document reasons for administration consistent with licensed healthcare professional orders.
R 325.1974 Laundry and linen: the facility laundry room lacked sufficient ventilation and a separate storage area for soiled linens.
Report Facts
Corrective action plan due: 15
Inspection Report — Jul 30, 2018
Date: Jul 30, 2018
Visit Reason
Addendum to the Original Licensing Study Report describing physical plant changes including new elevator, fire stair escape, wood deck and ramp, and generator installation.
Findings
The facility's physical plant changes have been completed and approved by the Bureau of Fire Services and Health Facilities Evaluation Section. The status of the license is recommended to remain unchanged.
Inspection Report — Dec 6, 2016
Date: Dec 6, 2016
Visit Reason
Increase capacity from 45 to 45 beds by removing Rooms 119 and 225 and adding Rooms 117 and 118 (Director's Quarters) as licensed beds.
Findings
The licensed bed capacity remains at 45 beds after the requested room changes; no increase or decrease in capacity was found.
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