Inspection Report
Modification
Capacity: 96
Deficiencies: 5
Oct 8, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-10 to 2025-10 with deficiency history and complaint investigations.
Findings
Across five inspections, including complaint and annual compliance investigations, the facility had five deficiencies primarily related to documentation, safety hazards, and infection control. Three complaint investigations found no deficiencies.
Complaint Details
Complaint investigations 00137908, 00131564, and 00131562 were conducted with no deficiencies found.
Deficiencies (5)
| Description |
|---|
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113. |
| A. A manager shall ensure that: 3. Documentation of the disaster plan review required in subsection (A)(2) includes: a. The date and time of the disaster plan review; b. The name of each employee or volunteer participating in the disaster plan review; c. A critique of the disaster plan review; and d. If applicable, recommendations for improvement; |
| A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented; |
| A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may cause a resident or other individual to suffer physical injury; |
| A. A manager shall ensure that: 9. Soiled linen and soiled clothing stored by the assisted living facility are maintained separate from clean linen and clothing and stored in closed containers away from food storage, kitchen, and dining areas; |
Report Facts
Inspections on page: 5
Total deficiencies: 5
Complaint inspections: 3
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