The most recent inspection on October 11, 2024, noted deficiencies that led to enforcement action and a civil fine totaling $9,600, which was later reduced through a settlement agreement. Earlier inspections showed a pattern of deficiencies related mainly to management responsibilities, documentation, service plans, and tuberculosis screening and policies. No complaint investigations were reported or substantiated in the available records. Prior enforcement included a fully paid fine of $4,800 following a July 2, 2024 action. The facility’s inspection history indicates ongoing issues with regulatory compliance, particularly in administrative and documentation areas, with enforcement actions increasing over time.
The Department assessed civil fines totaling $9,600 for violations found during the inspection. The Licensee did not agree to pay the full amount, resulting in a settlement agreement for a reduced payment plan.
Fines & Penalties (2)
Amount
Reason
Status
$9,600.00
Civil fines for violations documented during the June 12, 2024 compliance inspection
Pending
$4,800.00
Settlement amount agreed upon in the enforcement agreement with payment plan
Four deficiencies found related to manager designation, tuberculosis documentation, service plans, and tuberculosis screening implementation.
Findings
Four deficiencies found related to manager designation, tuberculosis documentation, service plans, and tuberculosis screening implementation.
Deficiencies (4)
Description
A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Cert...
A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before ...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
R9-10-113. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this C...
Four deficiencies found related to policies and procedures, documentation at acceptance, residency agreements, and service plans.
Findings
Four deficiencies found related to policies and procedures, documentation at acceptance, residency agreements, and service plans.
Deficiencies (4)
Description
B. A manager of an assisted living home shall ensure that: 3. As part of the policies and procedures required in R9-10-803(C)(1)(h), a plan is establi...
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 cale...
D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agr...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
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