Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Deficiencies: 14
Oct 24, 2024
Visit Reason
State-compiled facility profile showing 14 inspections from 2021-08-01 to 2025-07-31 with deficiency history and enforcement summary.
Findings
Across 14 inspections, the facility had 22 total violations with 4 inspections resulting in no violations. Deficiencies covered areas such as medication assistance, food service, disaster and emergency procedures, and record keeping. No enforcement actions were reported during the period.
Deficiencies (14)
| Description |
|---|
| 488.7 (d) (4) — Resident services: Medication assistance recording requirements not fully met. |
| 488.8 (a) — Food service: Operator must establish a balanced, nutritious meal program. |
| 488.8 (b) (3) (i) — Food service: Menus must be planned a minimum of three weeks in advance. |
| 488.8 (b) (4) — Food service: Resident dietary regimen and allergy information must be available and used. |
| 488.8 (b) (7) — Food service: Food must be stored, prepared and served safely and nutritiously. |
| 488.12 (c)(1-10) — Disaster and emergency procedures: Comprehensive emergency plan requirements not fully met. |
| 1001.7 (k) (3) — Admission and retention standards: Individualized Service Plan development and implementation. |
| 488.10 (d) (2) — Records and reports: Program records must be maintained and available for review. |
| 402.4(a)(1) — General requirements: Timely criminal history information processing and authorized persons designated. |
| 402.4(b)(2)(i) — General requirements: Temporary employee supervision and documentation requirements. |
| 488.11 (e) (9) — Environmental standards: Water temperature controls for bathing and hand-washing. |
| 1001.12 (b) (1-7) — Records and reports: Complete and current personal records for each resident. |
| 485.11 (b) — Records and reports: Operators must supply and provide access to information and records as required. |
| 488.10 (e) (4) — Records and reports: Quarterly statistical information reports including census and deaths. |
Report Facts
Inspections on page: 14
Total violations: 22
No-violation inspections: 4
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