Inspection Report
Deficiencies: 15
Feb 13, 2025
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State-compiled facility profile showing 16 inspections from 2021-08-01 to 2025-07-31 with deficiency history and enforcement summary.
Findings
Across 16 inspections from August 2021 through February 2025, the facility had 21 violations with 8 inspections resulting in no violations. Most violations relate to records and reports and admission, food service, and personnel regulations. No enforcement actions were reported during this period.
Deficiencies (15)
| Description |
|---|
| 485.11 (b) — Records and reports: Operators must supply and provide access to information and records as determined by the department. |
| 487.4(f)-(g) — Admission standards: Facility must determine ability to support resident needs based on medical evaluation and interviews. |
| 487.8 (c) — Food service: Information on each resident's prescribed dietary regimen and food allergies must be available and used in meal planning. |
| 487.8 (d) (1-2) — Food service: Menus must provide sufficient nutrients and calories including specified food groups. |
| 487.8 (e) (12-13) — Food service: Appropriate tableware must be used; disposable plates and utensils not regularly used. |
| 487.9 (c) (19) — Personnel: Responsible person designated in absence of administrator with specified qualifications and training. |
| 487.10 (e) (2) — Records and reports: Operator shall submit quarterly statistical information report. |
| 402.4(a)(1) — General requirements: Criminal history information must be requested, reviewed, and acted upon timely with authorized persons designated. |
| 402.4(b)(2)(i) — General requirements: Temporary employees must not have unsupervised physical contact with patients and must be supervised. |
| 402.5(c) — Requirements before submitting a request for criminal history record check: Signed informed consent required. |
| 402.7(c) — Department criminal history review: Provider must notify prospective employee if disapproved based on criminal history. |
| 402.9(b)(1) — Responsibilities of providers; required notifications: Provider must notify department within 30 days of certain employment changes. |
| 487.7 (f) (11) (i-v) — Resident services: Medications must be stored securely and separately from food/beverages. |
| 487.7 (f) (12) (iii) — Resident services: Medication assistance must be recorded at time of assistance with specified details. |
| 487.9 (a) (4) — Personnel: Operator must conduct ongoing in-service training and provide training opportunities. |
Report Facts
Inspections on page: 16
Total violations: 21
No-violation inspections: 8
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