Inspection Report
Renewal
Capacity: 119
Deficiencies: 10
Jan 22, 2025
Visit Reason
The inspection was conducted as a re-licensure renewal for the assisted living facility to ensure compliance with state licensing rules and regulations.
Findings
The facility was found to be non-compliant with several licensing rules, including staff training, resident assessments, medication administration, and emergency preparedness. Multiple deficiencies were noted, some requiring correction by specified dates.
Deficiencies (10)
| Description |
|---|
| Two employees did not receive core competency training within 30 days of hire. |
| One resident assessment was not accurate at the time of assessment. |
| One resident was not given medications as prescribed. |
| Resident assessments were not completed or signed by licensed health care professionals every six months. |
| Resident medication errors were noted, including failure to document administration and failure to follow physician orders. |
| Emergency preparedness plans and drills were not adequately conducted or documented. |
| Housekeeping and laundry services did not meet required standards, including unlocked cleaning agents and inadequate cleaning schedules. |
| Maintenance services did not ensure proper upkeep of equipment and building safety. |
| Resident rights and admission agreements were not consistently maintained or provided. |
| Staff qualifications and training requirements were not fully met. |
Report Facts
Total licensed capacity: 119
Number of employees without core competency training: 2
Number of resident assessments not accurate: 1
Number of residents not given medications as prescribed: 1
Inspection date: Jan 22, 2025
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