Inspection Report
Renewal
Census: 11
Capacity: 78
Deficiencies: 7
Oct 2, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Canterbury Place.
Findings
The inspection identified multiple deficiencies including improper food storage, outdated food items, missing annual medical evaluations, medication storage issues, incomplete resident assessments, and incomplete support plan documentation. Plans of correction were accepted and implemented with ongoing audits and education.
Deficiencies (7)
| Description |
|---|
| Food was stored in uncovered and undated containers in the walk-in cooler. |
| Outdated or unsealed food items were found in the walk-in freezer. |
| A resident's most recent annual medical evaluation was not completed timely. |
| Medication prescribed for topical pain was not available in the home at the time of inspection. |
| Resident assessment did not include dental needs information. |
| Resident's support plan did not document the need, use, and risks of a bedside mobility device. |
| Resident's support plan was not signed by the staff person who completed it, and resident signature status was not properly indicated. |
Report Facts
License Capacity: 78
Residents Served: 11
Staffing Hours: 16
Staffing Hours: 12
Current Residents: 1
Uncovered food items: 3
Hot dogs: 6
Breaded chicken strips: 5
Veggie burgers: 20
Battered cod fillets: 12
Tilapia fillets: 36
Flame broiled burgers: 25
Inspection Report
Census: 11
Capacity: 78
Deficiencies: 0
Mar 20, 2025
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 15
Waking Staff: 11
Residents Served: 11
License Capacity: 78
Inspection Report
Follow-Up
Census: 23
Capacity: 78
Deficiencies: 3
Aug 30, 2023
Visit Reason
The inspection was conducted as a partial, unannounced review due to an incident involving allegations of verbal abuse by a staff person against a resident.
Findings
The facility was found to have deficiencies related to failure to immediately report suspected resident abuse, inadequate supervision of a staff person involved in the alleged abuse, and failure to treat a resident with dignity and respect. The submitted plan of correction was determined to be fully implemented.
Complaint Details
The visit was complaint-related due to an allegation of verbal abuse against a staff person involving resident #1. The allegation was substantiated and investigated, with corrective actions implemented.
Deficiencies (3)
| Description |
|---|
| Failure to immediately report suspected verbal abuse of a resident by a staff person to the local Area Agency on Aging and Department of Human Services. |
| Failure to immediately develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse, resulting in unsupervised work shifts. |
| Resident was treated without dignity and respect when staff person called resident a pig after providing incontinence care. |
Report Facts
License Capacity: 78
Residents Served: 23
Current Hospice Residents: 3
Residents Age 60 or Older: 23
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 12
Residents with Physical Disability: 2
Inspection Report
Renewal
Census: 22
Capacity: 78
Deficiencies: 8
Sep 27, 2022
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons.
Findings
Multiple deficiencies were identified including hot water temperatures exceeding 120°F, incomplete medical evaluations, unsecured medications, improper medication labeling, transportation safety issues, and incomplete resident assessments. Plans of correction were accepted and implemented with follow-up audits and education scheduled.
Deficiencies (8)
| Description |
|---|
| Hot water temperature in areas accessible to residents exceeded 120°F at multiple locations. |
| Resident #1's medical evaluation lacked pulse rate, cognitive functioning, and license number of medical professional. |
| During transportation, resident #2 fell backwards in wheelchair due to unsecured wheelchair straps. |
| Resident #3's topical medication was unlocked in their bedroom despite not being assessed capable to self-administer medications. |
| Resident #4's medication label indicated incorrect dosage frequency compared to prescription. |
| Resident #1's glucometer was not set to the correct date and time. |
| Resident #1's medication administration record did not document units of insulin administered from 9/1/22 through 9/28/22. |
| No initial assessment was completed for resident #1 within 15 days of admission. |
Report Facts
License Capacity: 78
Residents Served: 22
Staffing Hours: 24
Waking Staff: 18
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 2
Residents 60 Years or Older: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Director of Resident Care | Named in multiple findings related to medical evaluation, medication management, and resident assessments. |
| Activity Director | Activity Director | Named in transportation safety deficiency and related corrective actions. |
| Maintenance Director | Maintenance Director | Named in hot water temperature deficiency and corrective actions. |
Inspection Report
Renewal
Capacity: 78
Deficiencies: 0
Jun 11, 2021
Visit Reason
The document is a renewal license issued in response to the facility's March 4, 2021 renewal application to operate the Personal Care Home. The Department advises that an annual inspection will be conducted within the next twelve months as required by regulation.
Findings
The Department has issued a regular license for Canterbury Place following the renewal application. No findings of noncompliance are stated in this document, but the Department notes that if noncompliance is found during the upcoming inspection, enforcement action will be taken.
Report Facts
Maximum licensed capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license letter |
Inspection Report
Renewal
Census: 25
Capacity: 78
Deficiencies: 3
Apr 5, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of Canterbury Place on April 5 and 6, 2021.
Findings
The facility was found to have deficiencies related to resident personal equipment and additional assessments. The submitted plan of correction was accepted and determined to be fully implemented.
Deficiencies (3)
| Description |
|---|
| Multiple cracks in the vinyl exposing the underlying fabric on both of resident #1's wheelchair armrests, posing a skin tear hazard. |
| The assessment for resident #2 did not include several diagnoses as indicated on the medical evaluation. |
| The assessment for resident #3 did not include diagnoses of depression, anxiety, and mood disorder as indicated on the medical evaluation. |
Report Facts
License Capacity: 78
Residents Served: 25
Total Daily Staff: 31
Waking Staff: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janine Wenzig | Signed letters regarding inspection results and plan of correction | |
| Director of Resident Care | Responsible for reviewing wheelchair audits and assessments to ensure compliance |
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