Most inspections found no deficiencies, showing the facility generally maintained good repair, cleanliness, and compliance with safety and infection control standards. The most recent inspection on September 23, 2025, was perfect with no deficiencies noted. An earlier inspection on September 21, 2024, identified minor issues related to outdated documentation and medication logging, but these were isolated and not severe. No fines, enforcement actions, or serious findings appeared in any reports. Several complaint investigations were not listed, indicating no substantiated complaints during this period.
The visit was an unannounced annual inspection conducted by Licensing Program Analyst M Vega to evaluate compliance with licensing requirements.
Findings
The facility was found to be in good repair, clean, and free of hazards. All required supplies and documentation were observed, and medications were administered correctly. No deficiencies were observed during the inspection.
Report Facts
Capacity: 6Census: 5Bathroom water temperature: 110.8Fire extinguisher service date: 202502
Employees Mentioned
Name
Title
Context
David Murchison
Administrator
Facility Administrator who assisted with the inspection
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found the facility generally clean and in good repair with adequate safety measures, but noted deficiencies including an outdated Physician's Report for Resident 1 and incorrect logging of Resident 1's medication on the Centrally Stored Medication record. The Emergency Disaster Plan was also outdated.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Resident 1 does not have a Physician's Report updated annually as required.
Type B
Resident 1's medication was not logged correctly on the Centrally Stored Medication record.
Type B
Report Facts
Capacity: 6Census: 5Plan of Correction Due Date: Oct 5, 2024
Employees Mentioned
Name
Title
Context
Sarah Hurt
Licensing Program Analyst
Conducted the inspection and authored the report
Camile Agarin
Facility Staff
Met with Licensing Program Analyst during inspection
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. Resident and staff files were up to date, and no deficiencies were observed during the inspection.
Report Facts
Fire extinguisher service date: Feb 9, 2023Bathroom water temperature: 105Facility capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Colin Murchison
Administrator
Administrator notified of Licensing visit and provided assistance
Vadim Gorban
Licensing Program Analyst
Conducted the annual inspection
Camille Agarin
Caregiver
Met with Licensing Program Analyst during inspection
Unannounced annual required infection control inspection conducted to assess compliance with infection control and facility safety regulations.
Findings
No deficiencies were observed during the inspection. The facility was found to have appropriate infection control measures, adequate food and medication supplies, operational safety equipment, and compliance with visitation screening policies.
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection to assess compliance with infection control practices.
Findings
The inspection found the facility compliant with all required infection control practices, including symptom screenings, visitation policies, quarantine procedures, PPE use, and staff training. No deficiencies were cited during the inspection.
Report Facts
PPE supply duration: 30
Employees Mentioned
Name
Title
Context
Colin Murchison
Administrator
Met during inspection and identified as Infection Control Lead
Les Xiong
Licensing Program Analyst
Conducted the inspection
Sergiy Pidgirny
Licensing Program Manager
Named in report header
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