The most recent inspection on December 24, 2024, included enforcement action resulting in a fine that was fully paid. Earlier inspections showed a pattern of deficiencies related to personnel record keeping, facility egress safety, tuberculosis screening, medication administration, and resident acceptance criteria. Enforcement actions included fines totaling $2,250 across multiple reports, with some citations repeated from prior years. Complaint investigations were not listed in the available reports. The inspection history indicates ongoing challenges with safety and documentation issues, with enforcement actions occurring as recently as the latest inspection.
Deficiencies (last 1 years)
Deficiencies (over 1 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have deficiencies in personnel record keeping and safety measures for resident egress, resulting in civil fines totaling $1750.00.
Fines & Penalties (2)
Amount
Reason
Status
$1,000.00
Failure to ensure a complete personnel record was available for one of three employees reviewed.
Pending
$750.00
Failure to ensure there was a means of exiting the facility that alerted employees of a resident's egress, posing a health and safety risk.
Inspection history summary covering multiple inspections for the facility
Findings
Multiple deficiencies were found related to tuberculosis screening, medication administration, resident acceptance criteria, and facility egress among others during the annual compliance inspection.
Deficiencies (1)
Description
R9-10-113 — Tuberculosis Screening deficiencies including failure to ensure resident documentation and infection control activities; medication administration and storage violations; resident acceptance criteria not met; facility egress issues
Report Facts
Total inspections: 1
Employees Mentioned
Name
Title
Context
ELSA TESFASION
Administrator
Named as facility administrator in relation to inspection findings
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