Inspection Report Summary
The most recent inspection on October 7, 2025, found no deficiencies during the investigation of several complaints. Earlier inspections showed a mix of results, with some investigations citing deficiencies related mainly to staff training, policy implementation, resident dignity, medication storage, and safety systems. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Most complaint investigations were unsubstantiated, with no notable substantiated cases reported. The pattern suggests some improvement over time, as recent inspections have consistently found no deficiencies.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have mo... — personnel record documentation |
| A. Except as provided in subsection (B), a manager shall ensure that: 1. A caregiver or employee coordinates the transport and the services provided t... — resident transport evaluation |
| B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration; — resident dignity and respect |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided... — acceptance/retention of confined residents |
| E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in... — alert system availability |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, c... — medication storage security |
| A. A manager shall ensure that 5. An evacuation drill for employees and residents: b. Includes all individuals on the premises except for: i. A reside... — evacuation drill inclusiveness |
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a lock... — toxic materials storage |
| A. A manager shall ensure that: 13. Equipment used at the assisted living facility is: a. Maintained in working order; — equipment maintenance |
| R9-10-120. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is... — opioid prescribing policies |
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop an... — staff training on fall prevention |
| C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident... — policies and procedures implementation |
| Description |
|---|
| 36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A. An assisted living cent... — emergency responder documentation |
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