Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Census: 15
Capacity: 36
Deficiencies: 3
Jan 8, 2024
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with several rules including failure to update a resident's service plan to reflect hospice care, failure to complete the tuberculosis annual risk assessment for 2022 and 2023, and failure to post the menu for the current week.
Deficiencies (3)
| Description |
|---|
| Resident A's service plan omitted all information on the role of hospice in the care of Resident A. |
| Facility did not complete the tuberculosis annual risk assessment for years 2022 and 2023. |
| Menu was not posted for the current week. |
Report Facts
Number of residents interviewed and/or observed: 15
Facility capacity: 36
Number of staff interviewed and/or observed: 4
Number of others interviewed: 3
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