Inspection Report Summary
The most recent inspection on May 6, 2025, identified deficiencies in several areas including care planning participation, accuracy of assessments, wound care infection control, medication storage, dental service timeliness, and dietary preference adherence. Earlier inspections showed a mixed pattern with some years having no health deficiencies, such as March 11, 2024, while others noted issues related to care planning, staffing, medication management, and quality of care. Complaint investigations were conducted but were not substantiated with enforcement actions or fines listed in the available reports. Prior reports also cited life safety code issues that were corrected promptly. The facility’s inspection history shows recurring themes in care planning and medication management, with no clear improvement or worsening trend over time.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Interviewed regarding Resident #207's care plan participation |
| Social Worker #1 | Social Worker | Interviewed regarding invitations to care plan meetings for Resident #207 |
| Registered Nurse #5 | Registered Nurse | Interviewed about Resident #265's wander alert device |
| Registered Nurse #8 | Registered Nurse | Observed and interviewed regarding wound care for Resident #74 |
| Registered Nurse #6 | Unit Manager | Interviewed regarding peripheral line dressing for Resident #130 |
| Director of Nursing | Director of Nursing | Interviewed multiple times regarding various deficiencies including wound care, contracture, medication storage, and denture repair |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed regarding Resident #162's contracture and functional status |
| Nurse Practitioner | Nurse Practitioner | Interviewed regarding Resident #162's contracture and treatment |
| Attending Physician | Physician | Interviewed regarding Resident #162's contracture |
| Registered Nurse #9 | Registered Nurse | Interviewed regarding medication storage and expired vaccine |
| Registered Nurse #10 | Unit Manager | Interviewed regarding medication storage and expired vaccine |
| Registered Nurse #1 | Registered Nurse | Interviewed regarding denture repair follow-up for Resident #30 |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed regarding Resident #30's dentures and diet |
| Dentist | Dentist | Interviewed regarding delay in denture repair for Resident #30 |
| Registered Dietician | Registered Dietician | Interviewed regarding Resident #137's dietary preferences |
| Chief Clinical Dietician | Chief Clinical Dietician | Interviewed regarding Resident #137's dietary preferences |
| Certified Nurse Assistant #3 | Certified Nurse Assistant | Interviewed regarding Resident #137's milk preference |
Inspection Report
Complaint InvestigationInspection Report
Annual InspectionInspection Report
Complaint InvestigationInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Supervisor | Interviewed regarding baseline care plan responsibilities and medication storage. |
| DON | Director of Nursing | Interviewed multiple times regarding care plan development, staffing, medication regimen reviews, and medication storage. |
| Chief Clinical Dietician | Chief Clinical Dietician | Interviewed regarding nutritional care plan responsibilities and weight monitoring. |
| RN #7 | Registered Nurse Manager | Interviewed regarding care plan for dialysis treatment. |
| RN #3 | Registered Nurse | Interviewed regarding hospice care plan review. |
| RN #4 | Registered Nurse Unit Manager | Interviewed regarding responsibility for care plan development and review. |
| CNA #1 | Certified Nursing Assistant | Interviewed regarding resident weight monitoring. |
| CNA #2 | Certified Nursing Assistant | Interviewed regarding catheter care and resident weight monitoring. |
| CNA #10 | Certified Nursing Assistant | Interviewed regarding staffing shortages and resident care on weekends. |
| CNA #11 | Certified Nursing Assistant | Interviewed regarding staffing shortages and resident care on weekends. |
| Staffing Coordinator | Staffing Coordinator | Interviewed regarding staffing challenges and recruitment efforts. |
| FPS | Facility Pharmacist Supervisor | Interviewed regarding medication regimen review process and delays. |
| MD | Medical Director | Interviewed regarding medication regimen review process and facility staffing challenges. |
| Administrator | Facility Administrator | Interviewed regarding medication regimen review process and staffing. |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding medication storage and labeling. |
Inspection Report
Complaint InvestigationLoading inspection reports...