Inspection Report
Deficiencies: 6
Dec 26, 2024
Visit Reason
State-compiled facility profile showing 9 inspections from August 1, 2021 through July 31, 2025 with deficiency history and enforcement actions.
Findings
Across 9 inspections, the facility had a total of 11 violations primarily related to records and reports regulations, with one complaint survey resulting in no violations. Enforcement actions include a stipulation and order issued in April 2022.
Complaint Details
Complaint surveys were conducted on June 21, 2024 with no violations and on March 9, 2022 with 4 violations related to criminal history record checks and resident protections.
Deficiencies (6)
| Description |
|---|
| 485.11 (b) — Records and reports: Operators must supply and provide access to information and records as determined by the department. |
| 488.10 (e) (4) — Records and reports: Quarterly reports including census and resident deaths must be submitted. |
| 402.6(b) — Criminal history record check process: Requirements for submitting fingerprint forms for prospective employees. |
| 402.6(d) — Criminal history record check process: Temporary approval and supervision requirements during pending checks. |
| 488.3 (d) — General provisions: Operators must afford access to residents, grounds, buildings, and records at any time. |
| 488.5 (e) (11-12) — Resident protections: Procedures for termination of admission agreements and notice requirements. |
Report Facts
Inspections on page: 9
Total violations: 11
Violations in complaint surveys: 4
Violations in complaint surveys: 0
Enforcement actions: 1
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