Inspection Report
Complaint Investigation
Census: 120
Capacity: 120
Deficiencies: 5
Apr 30, 2025
Visit Reason
State-compiled facility profile showing 27 inspections from 2022-12-27 to 2025-04-30 with deficiency history and complaint investigations.
Findings
Across multiple complaint investigations and recertification surveys, the facility was mostly found compliant with no deficiencies cited in the majority of inspections. However, several complaint investigations cited deficiencies related to failure to provide appropriate care plans, medication administration, and communication of changes in resident conditions.
Complaint Details
Multiple complaint investigations were conducted between 2022 and 2025, investigating numerous intake numbers. Most complaint inspections found no deficiencies, but some investigations cited deficiencies related to medication administration, care planning, and communication of resident condition changes.
Deficiencies (5)
| Description |
|---|
| R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.3.b. Assist the resident in maintaining the resident's highest practicable well-being according to the resident's comprehensive assessment. Facility failed to monitor and ensure that resident (#34) was administered pain and psychotropic medications as per the orders and medications were left with the resident unsupervised. |
| R9-10-403.C. An administrator shall ensure that: R9-10-403.C.2.b. Policies and procedures for physical health services and behavioral health services are established, documented, and implemented to protect the health and safety of a resident that: Cover the provision of physical health services and behavioral health services; Facility failed to provide physical health services that protect the health and safety of one resident (#1). |
| § 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Facility failed to provide services in accordance with professional standards of practice for one resident (#1). |
| § 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Facility failed to ensure that changes in resident #491 condition will be communicated to the physician. |
| R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.3.b. Assist the resident in maintaining the resident's highest practicable well-being according to the resident's comprehensive assessment. Facility failed to ensure that changes in resident #491 condition will be communicated to the physician. |
Report Facts
Inspections on page: 27
Total deficiencies: 5
Complaint inspections: 26
Facility capacity: 120
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