Inspection Reports for Birdee Cottage AL and MC

Inspection Report Summary

The most recent inspection on September 16, 2025, identified a deficiency related to the facility’s failure to develop an individualized service plan for a tenant that included alcohol use preferences and a physician’s titration recommendation. Earlier inspections showed a mixed record, with the initial certification visit in September 2022 citing multiple deficiencies involving documentation, medication administration, staff training, service plans, and life safety code issues, while a February 2025 complaint investigation found no regulatory insufficiencies. The main themes across deficiencies involved individualized service planning, documentation accuracy, staff training, and compliance with dementia-specific program requirements. Complaint investigations were mostly unsubstantiated except for the recent case involving the individualized service plan omission. The pattern suggests some improvement since the initial certification, though issues with individualized care planning remain.