The most recent inspection on December 19, 2025, resulted in enforcement action with a fine that has been paid in full. Earlier inspections identified multiple deficiencies related to medication storage, premises cleanliness, tuberculosis screening, opioid prescribing, service plans, caregiver supervision, and emergency standards. Enforcement actions included fines totaling at least $750, with issues such as failure to verify caregiver skills and improper medication storage cited. Complaint investigations were not listed in the available reports. The pattern of citations and enforcement actions suggests ongoing challenges with compliance, with no clear improvement trend evident.
Deficiencies (last 2 years)
Deficiencies (over 2 years)11.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Nine deficiencies were found related to tuberculosis screening, opioid prescribing, residency agreements, service plans, medical records, medication services, emergency and safety standards, and environmental standards.
Findings
Nine deficiencies were found related to tuberculosis screening, opioid prescribing, residency agreements, service plans, medical records, medication services, emergency and safety standards, and environmental standards.
Deficiencies (9)
Description
R9-10-113.A.2.a-f. Tuberculosis Screening
R9-10-120.F.4.a-c. Opioid Prescribing and Treatment
R9-10-807.A.1-2. Residency and Residency Agreements
The inspection was conducted due to enforcement concerns related to violations listed in the Civil Fines Table, including medication storage and premises cleanliness.
Findings
The facility was found to have repeat deficiencies involving improper medication storage and failure to clean and disinfect premises according to policies, posing risks to residents' health and safety. Civil fines totaling $500 were assessed.
Deficiencies (2)
Description
The manager failed to ensure that medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.
The manager failed to ensure that the premises were cleaned and, if applicable, disinfected according to policies and procedures designed to prevent, minimize, and control illness or infection.
Report Facts
Civil fines total amount: 500Penalty amount: 250Penalty amount: 250
Employees Mentioned
Name
Title
Context
Thelma McCluskey
Licensee/Director/Provider
Named in enforcement agreement and signed the document
The facility was found to have failed to verify and document the skills and knowledge of an assistant caregiver before providing physical health services, resulting in a civil fine.
Fines & Penalties (1)
Amount
Reason
Status
$250.00
Failure to verify and document one assistant caregiver's skills and knowledge before providing physical health services.
Twelve deficiencies were found related to fall prevention training, employee compliance, caregiver supervision, service plans, vaccination documentation, medication storage, disaster drills, and premises cleanliness.
Findings
Twelve deficiencies were found related to fall prevention training, employee compliance, caregiver supervision, service plans, vaccination documentation, medication storage, disaster drills, and premises cleanliness.
Deficiencies (12)
Description
36-420.01. Fall prevention and fall recovery training programs