Inspection Report Summary
The most recent inspection on September 3, 2024, identified multiple deficiencies related to resident care and staff training. Earlier inspections were not provided for comparison, so broader patterns cannot be determined from the available data. Inspectors cited issues including acceptance of a resident needing care beyond the facility’s licensed services, incomplete service plans addressing falls and medical needs, and insufficient dementia-specific training for staff. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Without previous reports, it is unclear whether these issues represent a new concern or ongoing challenges.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description | Severity |
|---|---|
| Accepted a resident requiring extensive assistance with activities of daily living on hospice care beyond licensed services. | Level 3 |
| Failed to develop and mutually agree upon a comprehensive service plan addressing fall interventions, oxygen therapy, and catheter care for residents. | Level 2 |
| Failed to provide required dementia-specific orientation and ongoing training to staff, including 4 hours of dementia-specific orientation, 16 hours of on-the-job training for new direct care staff, and 12 hours of annual dementia training for existing staff. | Level 3 |
| Name | Title | Context |
|---|---|---|
| E10 | Health and Wellness Director | Named in findings related to unawareness of residency requirements and inability to explain missing service plan details and training documentation. |
| E9 | Business Office Manager | Involved in review of personnel files for dementia training compliance. |
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