Inspection Report Summary
The most recent inspection on June 3, 2025, identified deficiencies related to disaster preparedness drill documentation, incident and accident reporting, and health care worker background check compliance. Earlier inspections showed a similar pattern of issues with documentation and regulatory compliance, indicating ongoing challenges in these areas. Inspectors cited failures to document evacuation assistance during drills, report serious incidents involving harm, and verify employee background checks as the main themes of deficiencies. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. The inspection history suggests these issues have persisted without clear improvement over time.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed findings related to disaster preparedness and background check deficiencies |
| E2 | Director of Wellness | Confirmed incidents were not reported to the Department |
| E5 | Culinary Server | Employee record showed late Health Care Worker Registry search after date of hire |
| E7 | Certified Nursing Assistant | Lacked annual employment verification until updated after audit |
| E9 | Concierge | Lacked annual employment verification until updated after audit |
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