Most inspections found no deficiencies, showing the facility has generally maintained good repair, cleanliness, and safety. The most recent inspection on September 23, 2025, was perfect with no deficiencies noted. One earlier inspection in September 2024 cited a minor deficiency related to incomplete medication logging for a resident’s CBD oil and some missing staff documentation. Other issues were isolated and minor, with no fines, enforcement actions, or serious findings reported. The overall record suggests consistent compliance with occasional minor documentation lapses that have not recurred in the latest review.
The visit was an unannounced Annual Inspection conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be in good repair, clean, and free of hazards. All required safety equipment and documentation were observed, and no deficiencies were cited during this inspection.
Report Facts
Bathroom water temperature: 119.9Fire extinguisher service date: Jan 6, 2025
Employees Mentioned
Name
Title
Context
David Murchison
Administrator
Met with Licensing Program Analyst during inspection
The visit was an unannounced Annual Inspection conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements at the facility.
Findings
The facility was found to be generally well-maintained, clean, and safe with proper food storage and emergency supplies. However, a deficiency was cited for failure to log a resident's CBD oil medication on the Centrally Stored Medication Log, and some staff files lacked required documentation.
Deficiencies (1)
Description
Resident R1 was being given CBD oil which was not logged on the Centrally Stored Medication Log.
Report Facts
Capacity: 6Census: 6Plan of Correction Due Date: Sep 20, 2024
Employees Mentioned
Name
Title
Context
David Murchison
Administrator
Facility Administrator present during inspection and informed of deficiencies
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be in good repair, clean, and free of hazards. All required supplies and safety equipment were properly maintained, medications were securely stored and administered properly, and resident files were up to date. No deficiencies were observed during the inspection.
Report Facts
Fire extinguisher service date: Feb 9, 2023Bathroom water temperature: 105Inspection start time: 1330Inspection end time: 1630
Employees Mentioned
Name
Title
Context
Colin Murchison
Administrator
Facility administrator notified of licensing visit and provided assistance
Michelle Anunciation
Caregiver
Met with Licensing Program Analyst and toured facility
Unannounced annual required infection control inspection conducted to assess compliance with infection control and facility safety standards.
Findings
The facility was found to be in compliance with no deficiencies observed. Observations included proper hand sanitizer availability, symptom screening for visitors, secured medications and PPE, operational carbon monoxide detectors linked to fire alarms, and up-to-date fire extinguisher service.
Report Facts
Fire extinguisher service date: Feb 8, 2022Medication supply duration: 30Perishable food supply duration: 2Non-perishable food supply duration: 7
Employees Mentioned
Name
Title
Context
Colin Murchison
Administrator
Met with Licensing Program Analyst during inspection
The visit was an unannounced Infection Control Inspection conducted as a required 1-year inspection to assess compliance with infection control practices, including COVID-19 mitigation measures.
Findings
The inspection found the facility compliant with all required infection control practices, including symptom screening, PPE use, visitation policies, and documentation. No deficiencies were cited during the inspection.
Report Facts
PPE supply duration: 30
Employees Mentioned
Name
Title
Context
Colin Murchison
Administrator
Identified as Infection Control Lead and met during inspection
Les Xiong
Licensing Program Analyst
Conducted the infection control inspection
Sergiy Pidgirny
Licensing Program Manager
Named in report header
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