Inspection Report Summary
The most recent inspection on April 16, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a mix of results, including a complaint investigation in March 2024 that identified six deficiencies related to personnel records, caregiver documentation, emergency response, facility egress, and bathroom ventilation. Enforcement actions included a $500 fine in April 2024 for issues with safe exit provisions, which was paid in full. Complaint investigations since then were unsubstantiated, with no deficiencies cited. The inspection history suggests improvement in compliance following the enforcement action and identified deficiencies.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00111440 | Paid |
| Description |
|---|
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: c. Documentation of: ix. Documentation of compliance wi... — Personnel record documentation |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and — Caregiver service documentation |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facilit... — Means of exiting the facility |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregive... — Accident/emergency response |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregive... — Accident/emergency response |
| D. A manager shall ensure that: 6. If a resident's sleeping area is in a residential unit, the residential unit has: c. A bathroom that provides priva... — Bathroom ventilation |
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure there was a means of exiting the facility for a resident without a key or special knowledge for egress, posing a health and safety risk. | — |
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