The most recent inspection on May 30, 2025, identified deficiencies related to service plans and medication administration during a complaint investigation. Earlier inspections showed a pattern of issues including caregiver documentation, service plan completeness, fall prevention training, and notification of resident deaths. The facility faced enforcement actions including fines of $2,000 and $250 for repeat deficiencies and documentation failures, which were paid in full. Most complaint investigations were substantiated, focusing mainly on documentation and service delivery. The inspection history indicates ongoing challenges with documentation and service plans, with enforcement actions reflecting repeated concerns over time.
The enforcement outcome resulted in a civil fine for the facility due to failure to document services provided to a resident, which was a repeat deficiency from a prior inspection and complaint investigation.
Fines & Penalties (1)
Amount
Reason
Status
$250.00
Failure to ensure that services provided to one resident were documented in the resident's medical record, a repeat deficiency.
The facility was found to have deficiencies in caregiver training documentation and resident safety related to egress, resulting in civil fines totaling $2000.
Fines & Penalties (2)
Amount
Reason
Status
$1,500.00
Failure to ensure a caregiver provided documentation of completion of a caregiver training program for three of nine individuals hired as caregivers.
—
$500.00
Failure to ensure the means of exiting the facility for a resident without a key, special knowledge, or ability to expended physical effort, including failure to control or alert employees of the egress.