Deficiencies (last 3 years)
Deficiencies (over 3 years)
20 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
400% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 17, 2025
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to follow its Abuse policy and procedures to investigate and report a suspected incident of resident abuse involving Resident 14.
Complaint Details
The complaint investigation was substantiated. Resident 14 alleged abuse by staff, including being swung in a wheelchair and hurt. The facility failed to investigate or report the incident despite police involvement and resident's 911 call.
Findings
The facility failed to properly investigate and report an alleged abuse incident involving Resident 14, who screamed during a visit with staff and called 911. The Administrator did not investigate or report the incident, concluding there was no abuse despite the resident's allegations and police involvement.
Deficiencies (1)
F 0610: The facility failed to follow its Abuse policy and procedures to investigate and report a suspected incident of resident abuse involving Resident 14. This failure placed Resident 14 at risk for emotional distress, mistreatment, neglect, or abuse.
Report Facts
Resident sample size: 3
Resident 14 BIMS score: 15
Date of Resident 14 MDS: Apr 23, 2025
Date of facility policy: Apr 22, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Assistant | Named by Resident 14 as involved in the alleged abuse incident. | |
| Activities Director | Present during the incident and meeting with Resident 14. | |
| Licensed Vocational Nurse/Infection Preventionist | Present during the incident and meeting with Resident 14. | |
| Registered Nurse/Unit Manager | Witnessed Resident 14 screaming but did not inquire further. | |
| Administrator | Did not investigate or report the alleged abuse despite police involvement. | |
| Medical Doctor | Confirmed Resident 14's capacity to make decisions and no medical distress. |
Inspection Report
Routine
Deficiencies: 13
Date: Nov 17, 2025
Visit Reason
Routine inspection of Fremont Healthcare Center to assess compliance with healthcare regulations including medication use, abuse investigation, PASRR screening, smoking safety, food and nutrition services, infection control, equipment maintenance, and environmental safety.
Findings
The facility was found deficient in multiple areas including improper use of psychotropic medications, failure to investigate abuse allegations, incomplete PASRR screening, inadequate supervision during resident smoking, poor sanitation and food safety in the kitchen, insufficient dietary staff training, improper food preparation and storage, inadequate infection control practices, lack of preventive maintenance for kitchen equipment, and unsafe kitchen air temperatures.
Deficiencies (13)
F 0605: Facility failed to prevent use of unnecessary psychotropic medications for two residents, including improper dosing and lack of gradual dose reduction attempts.
F 0610: Facility failed to investigate and report suspected resident abuse for one resident, risking emotional distress and neglect.
F 0645: Facility failed to complete required PASRR screening for one resident, risking inappropriate care placement.
F 0689: Facility failed to provide adequate supervision during resident smoking, creating fire hazards and safety risks for multiple residents.
F 0801: Facility failed to ensure food and nutrition staff had appropriate competencies and skills, resulting in unsanitary kitchen conditions and poor food safety practices.
F 0802: Facility failed to provide sufficient competent dietary staff to safely carry out food service functions, including proper cleaning and food preparation.
F 0804: Facility failed to ensure food was palatable and served at safe, appetizing temperatures, leading to resident dissatisfaction and potential food safety issues.
F 0805: Facility failed to prepare pureed diets according to diet manual requirements, risking swallowing difficulties and choking for residents.
F 0812: Facility failed to maintain kitchen sanitation, food storage, equipment cleanliness, and prevent cross-contamination, risking foodborne illness.
F 0813: Facility failed to properly store and label resident food brought from outside sources, risking foodborne illness and financial loss.
F 0880: Facility failed to implement infection prevention and control practices, including use of EPA-approved disinfectants and proper wound care procedures.
F 0908: Facility failed to maintain kitchen physical plant and equipment, including damaged walls, floors, doors, and refrigeration units, lacking preventive maintenance.
F 0921: Facility failed to ensure a comfortable and safe kitchen work environment, with air temperatures exceeding acceptable ranges, risking staff health and food safety.
Report Facts
Medication doses: 3
Temperature: 88.5
Temperature: 90.5
Food temperature: 46.4
Food temperature: 44.5
Food temperature: 46.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 2 | Registered Nurse | Failed to wash hands properly and did not use sterile gloves during wound care for Resident 83 |
| HK 1 | Housekeeper | Used non-EPA approved cleaning solution to mop floors |
| CDM | Certified Dietary Manager | Responsible for food service training and kitchen sanitation oversight |
| RD | Registered Dietitian | Conducted kitchen inspections and food service evaluations |
| DM | Director of Maintenance | Responsible for facility maintenance and equipment repairs |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 17, 2025
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to follow its Abuse policy and procedures to investigate and report a suspected incident of resident abuse involving Resident 14.
Complaint Details
The complaint investigation was triggered by Resident 14's allegation of abuse during a visit with three staff members, which led Resident 14 to call 911. The investigation found the facility did not investigate or report the incident as required. Resident 14 was found to have intact cognition and capacity to make decisions. The complaint was substantiated by the failure to follow policy.
Findings
The facility failed to properly investigate and report an alleged abuse incident involving Resident 14, who screamed during a visit with staff and called 911. Interviews and record reviews revealed conflicting accounts from staff and the administrator, and no investigation or reporting was conducted despite policy requirements.
Deficiencies (1)
Failure to follow Abuse policy and procedures to investigate and report suspected resident abuse involving Resident 14.
Report Facts
Resident sample size: 3
Resident 14 BIMS score: 15
Date of incident interview: Interviews conducted on 9/15/25, 9/16/25, and 9/17/25.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident 14 | Resident | Alleged victim of abuse and key interviewee. |
| SSA | Social Services Assistant | Staff member involved in the incident and interview. |
| AD | Activities Director | Staff member involved in the incident and interview. |
| IP | Licensed Vocational Nurse/Infection Preventionist | Staff member involved in the incident and interview. |
| RN1 | Registered Nurse/Unit Manager | Witnessed staff leaving Resident 14's room after screaming but did not inquire further. |
| Admin | Administrator | Heard Resident 14 scream, interacted with police, but did not investigate or report the incident. |
| MD1 | Medical Doctor | Confirmed Resident 14's capacity to make decisions and no medical distress. |
Inspection Report
Routine
Deficiencies: 13
Date: Nov 17, 2025
Visit Reason
The inspection was a routine survey to assess compliance with regulatory requirements related to medication use, abuse investigation, PASRR screening, smoking safety, dietary services, infection control, equipment maintenance, and resident safety.
Findings
The facility was found deficient in multiple areas including improper use of psychotropic medications, failure to investigate abuse allegations, incomplete PASRR screening, inadequate supervision during smoking, insufficient dietary staff training and sanitation, improper food preparation and storage, poor infection control practices, inadequate maintenance of kitchen equipment and environment, and unsafe kitchen air temperatures.
Deficiencies (13)
Failure to prevent use of unnecessary psychotropic medications and failure to attempt gradual dose reduction for Resident 68.
Failure to respond appropriately to alleged abuse and failure to investigate and report suspected abuse for Resident 14.
Failure to complete Preadmission Screening and Resident Review (PASRR) for Resident 36.
Failure to provide adequate supervision to prevent accident hazards related to smoking for multiple residents.
Failure to employ sufficient staff with appropriate competencies and skills in dietary services, resulting in unsanitary kitchen conditions and inadequate food safety practices.
Failure to provide sufficient support personnel to safely and effectively carry out food and nutrition service functions, including proper food preparation and sanitation.
Failure to ensure food is palatable, attractive, and served at safe and appetizing temperatures, with resident complaints about bland and cold food.
Failure to ensure pureed diets were prepared according to facility diet manual requirements, resulting in inconsistent texture and potential choking risk.
Failure to procure food from approved sources and to store, prepare, distribute and serve food in accordance with professional standards, including unsanitary kitchen conditions, improper food storage, and unattended contaminated rags.
Failure to have a policy regarding use and storage of foods brought to residents by family and visitors, resulting in improperly stored and labeled resident food and financial loss.
Failure to provide and implement an effective infection prevention and control program, including use of non-EPA approved disinfectants and improper wound care practices.
Failure to keep all essential kitchen equipment working safely, including poor maintenance of kitchen physical plant, refrigerators, freezers, ice machine, and lack of preventive maintenance system.
Failure to ensure a safe, easy to use, clean and comfortable nursing home area, with kitchen air temperatures exceeding acceptable range causing discomfort and potential safety risks.
Report Facts
Medication doses: 3
Inspection dates: Nov 17, 2025
Temperature: 88.5
Temperature: 90.5
Refrigerator temperature: 46.4
Refrigerator temperature: 44.5
Refrigerator temperature: 46.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 2 | Registered Nurse | Did not wash hands properly and did not use sterile gloves during wound care for Resident 83 |
| HK 1 | Housekeeper | Used non-EPA approved cleaning solution to mop floors |
| CDM | Certified Dietary Manager | Responsible for dietary staff training and kitchen sanitation; acknowledged kitchen sanitation issues |
| RD | Registered Dietitian | Conducted monthly kitchen inspections and identified sanitation and food safety issues |
| DM | Director of Maintenance | Responsible for maintenance of kitchen equipment and physical plant; acknowledged maintenance deficiencies |
| IP | Infection Preventionist | Provided infection control education and identified improper cleaning and wound care practices |
Inspection Report
Routine
Deficiencies: 7
Date: Mar 1, 2024
Visit Reason
Routine inspection survey conducted to assess compliance with regulatory requirements related to resident care, safety, medication administration, infection control, and food service.
Findings
The facility was found deficient in multiple areas including failure to protect resident dignity and privacy, inadequate assistance with activities of daily living, environmental hazards, medication errors, improper food storage and sanitation, and lapses in infection prevention and control practices.
Deficiencies (7)
F 0550: The facility failed to protect the dignity and privacy of one resident when the resident's back was exposed in the hallway during transfer from the shower.
F 0677: The facility failed to provide adequate assistance with activities of daily living for three residents, including failure to trim fingernails and missed showers.
F 0689: The facility failed to maintain a safe environment when a bedsheet was placed on the bathroom floor, creating a fall hazard for two residents.
F 0755: The facility failed to provide pharmaceutical services when buspirone was unavailable for one resident, potentially causing ineffective medication regimen.
F 0759: The facility failed to ensure medication error rates were below 5 percent, with four medication errors observed out of 26 opportunities.
F 0812: The facility failed to store, distribute, and serve food under sanitary conditions, including expired and undated food items and unclean equipment.
F 0880: The facility failed to implement infection prevention and control policies, including uncovered clean resident clothing and housekeeping staff not performing hand hygiene.
Report Facts
Medication errors observed: 4
Medication administration opportunities: 26
Residents affected by dignity/privacy deficiency: 1
Residents affected by ADL assistance deficiency: 3
Residents affected by environmental hazard: 2
Residents affected by medication availability deficiency: 1
Residents affected by infection control deficiency: Some
Residents affected by food safety deficiency: Some
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 4 | Certified Nursing Assistant | Named in finding for failure to cover resident during shower transfer. |
| Director of Nursing | Director of Nursing | Provided statements regarding resident dignity and privacy and infection control. |
| CNA 8 | Certified Nursing Assistant | Observed and interviewed regarding resident nail care. |
| Unit Manager 2 | Unit Manager | Interviewed regarding resident nail care responsibilities. |
| Registered Nurse 2 | Registered Nurse | Interviewed regarding resident nail care and hygiene. |
| Director of Staff Development | Director of Staff Development | Interviewed regarding shower documentation and ADL reporting. |
| CNA 7 | Certified Nursing Assistant | Interviewed regarding missed shower provision. |
| CNA 1 | Certified Nursing Assistant | Observed and interviewed regarding environmental hazard with bedsheet on bathroom floor. |
| Licensed Vocational Nurse 1 | Licensed Vocational Nurse | Interviewed and observed regarding medication administration errors. |
| Licensed Vocational Nurse 2 | Licensed Vocational Nurse | Observed and interviewed regarding medication administration errors. |
| Dietary Manager | Dietary Manager | Interviewed regarding food storage and sanitation deficiencies. |
| Registered Dietician | Registered Dietician | Interviewed regarding food storage and sanitation deficiencies. |
| Housekeeping Staff 1 | Housekeeping Staff | Observed and interviewed regarding infection control lapses. |
| Laundry Staff | Laundry Staff | Interviewed regarding uncovered clean clothing in laundry. |
| Infection Preventionist | Infection Preventionist | Interviewed regarding infection control practices and policies. |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding importance of hand hygiene. |
Inspection Report
Routine
Deficiencies: 7
Date: Mar 1, 2024
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory requirements related to resident dignity, activities of daily living assistance, accident hazard prevention, pharmaceutical services, medication administration, food safety, and infection control.
Findings
The facility was found deficient in multiple areas including failure to protect resident dignity and privacy during transfers, inadequate assistance with activities of daily living for some residents, environmental hazards increasing fall risk, medication errors including unavailable medications and improper inhaler administration, unsanitary food storage and preparation conditions, and lapses in infection prevention practices such as improper hand hygiene and uncovered clean resident clothing.
Deficiencies (7)
Failed to protect the dignity and privacy of one resident when the resident's back was exposed in the hallway during transfer.
Failed to assist three residents with activities of daily living including nail care and showering as scheduled.
Failed to maintain environment free of accident hazards when bedsheet was placed on bathroom floor posing fall risk.
Failed to provide pharmaceutical services meeting resident needs when buspirone was unavailable and medication administration errors occurred.
Failed to ensure medication error rates were below 5 percent; observed 15 percent error rate including improper inhaler administration.
Failed to store, distribute, and serve food under sanitary conditions including expired and undated food items, dirty freezers, and unclean utensils.
Failed to implement infection prevention and control program; observed uncovered clean resident clothing and housekeeping staff not performing hand hygiene properly.
Report Facts
Residents sampled: 28
Medication error rate: 15
Medication doses missed: 6
Residents affected: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 4 | Certified Nursing Assistant | Named in finding related to failure to protect resident dignity and privacy during transfer |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding dignity, privacy, and fall hazard findings |
| CNA 8 | Certified Nursing Assistant | Named in finding related to failure to assist resident with nail care |
| Unit Manager 2 | Unit Manager | Interviewed regarding responsibility for nail care |
| Registered Nurse 2 | Registered Nurse | Interviewed regarding nail care for Resident 35 |
| Director of Staff Development | Director of Staff Development (DSD) | Interviewed regarding shower documentation and ADL reports |
| CNA 7 | Certified Nursing Assistant | Interviewed regarding failure to provide shower to Resident 5 |
| CNA 1 | Certified Nursing Assistant | Observed and interviewed regarding bedsheet hazard in bathroom |
| Licensed Vocational Nurse 1 | Licensed Vocational Nurse (LVN) | Interviewed regarding medication administration and buspirone unavailability |
| Licensed Vocational Nurse 2 | Licensed Vocational Nurse (LVN) | Observed and interviewed regarding inhaler medication errors |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding food storage and sanitation deficiencies |
| Registered Dietician | Registered Dietician (RD) | Interviewed regarding food safety and sanitation |
| Housekeeping Staff 1 | Housekeeping Staff (HSK) | Observed and interviewed regarding hand hygiene lapses |
| Laundry Staff | Laundry Staff (LS) | Interviewed regarding uncovered clean resident clothing |
| Infection Preventionist | Infection Preventionist (IP) | Interviewed regarding infection control practices and hand hygiene |
| Maintenance Supervisor | Maintenance Supervisor (MS) | Interviewed regarding importance of hand hygiene |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 115
Deficiencies: 1
Date: Feb 28, 2024
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to inform a resident and their representative about Medicaid coverage and bed availability, which allegedly led to premature discharge and subsequent hospitalization.
Complaint Details
The complaint investigation focused on Resident 1's premature discharge due to lack of information about Medicaid coverage and bed availability. The complaint was substantiated as the facility failed to accommodate Resident 1's request to remain and discharged them despite pending insurance approval for long-term care.
Findings
The facility failed to notify Resident 1 and their representative about Medicaid items and services, specifically bed availability, resulting in Resident 1's premature discharge. Resident 1 was discharged despite a request to remain for custodial care and was hospitalized two days after discharge.
Deficiencies (1)
F 0582: The facility failed to give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident 1 and their representative were not informed about bed availability when Resident 1 became Medicaid eligible, leading to premature discharge and hospitalization.
Report Facts
Beds occupied: 103
Beds available: 5
Total beds: 115
Hemoglobin level: 6.4
Blood pressure: 84/55
Inspection Report
Complaint Investigation
Census: 103
Capacity: 115
Deficiencies: 1
Date: Feb 28, 2024
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to inform a resident and their representative about Medicaid coverage and bed availability, which allegedly led to the resident's premature discharge and subsequent hospitalization.
Complaint Details
The complaint investigation found that Resident 1 was not informed about Medicaid bed availability and potential charges, leading to premature discharge despite the resident's and representative's wishes to remain. The resident was hospitalized two days after discharge due to serious health issues.
Findings
The facility failed to provide accurate information to Resident 1 and their representative about Medicaid coverage and bed availability, resulting in Resident 1's premature discharge despite a request to remain for custodial care. Resident 1 was hospitalized two days after discharge due to health complications.
Deficiencies (1)
Failure to give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Report Facts
Beds occupied: 103
Beds available: 5
Total licensed beds: 115
Hemoglobin level: 6.4
Blood pressure: 84/55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Case Manager | Interviewed regarding Resident 1's discharge and insurance coverage | |
| Resident 1's Representative (RR 1) | Interviewed regarding discharge and care decisions |
Inspection Report
Complaint Investigation
Deficiencies: 8
Date: Dec 16, 2021
Visit Reason
The inspection was conducted to investigate complaints regarding failure to honor resident preferences, unsafe environment, incomplete assessments, and other regulatory compliance issues at Fremont Healthcare Center.
Complaint Details
The visit was complaint-related, investigating multiple issues including failure to honor resident preferences, unsafe environment, incomplete assessments, and food safety violations. Specific substantiation status is not stated.
Findings
The facility failed to honor a resident's religious preference for a male CNA, resulting in lack of showering for three weeks. Additional deficiencies included inoperable bathroom sink, delayed transmission of resident assessments, untreated foot rashes, environmental hazards such as warped flooring and unsafe smoking practices, failure to post nurse staffing information, improper food storage, and lack of smoking care plans.
Deficiencies (8)
F 0553: The facility failed to support Resident 120's preference for a male CNA for personal hygiene, resulting in the resident not receiving a shower for three weeks.
F 0584: The facility failed to provide a functional bathroom sink for Resident 8, limiting her ability to perform personal hygiene independently.
F 0640: The facility failed to transmit completed annual and quarterly Minimum Data Set assessments for multiple residents within required timeframes.
F 0687: The facility failed to assess and treat itchy rashes on Resident 13's feet, causing discomfort and increasing risk of infection due to diabetes.
F 0689: The facility failed to maintain a safe environment by allowing warped hallway flooring creating a tripping hazard and permitting Resident 119 to carry smoking materials contrary to policy.
F 0732: The facility failed to post daily nurse staffing information in a prominent place accessible to residents and visitors.
F 0812: The facility failed to store food safely, including unlabeled opened food, raw poultry stored improperly, rusty refrigerator walls, peeling plate covers, and unsanitary ice machine conditions.
F 0926: The facility failed to develop a smoking care plan for Resident 119, a smoker requiring supervision, increasing risk of unsafe smoking practices.
Report Facts
Residents with overdue MDS transmissions: 23
Residents sampled: 12
Residents affected by warped flooring hazard: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant 2 | CNA | Reported Resident 120's preference for male CNA and frustration due to lack of male CNA availability. |
| Licensed Vocational Nurse 2 | LVN | Assisted with completion of MDS assessments and reported backlog. |
| RN 1 | MDS Coordinator | Only person trained to transmit completed MDS assessments. |
| Unit Manager | UM | Reviewed care plans and was unaware of Resident 120's male CNA preference. |
| Maintenance Director | MD | Reported on warped flooring and ice machine sanitation issues. |
| Director of Nursing | DON | Reviewed care plans and confirmed lack of smoking care plan for Resident 119. |
| Director of Food and Nutrition Services | DFNS | Observed food storage and sanitation deficiencies. |
| Registered Dietary Nutritionist | RDN | Observed food storage and sanitation deficiencies. |
| Dietary Aide | DA | Reported refrigerator leak and food storage practices. |
| Treatment Nurse | TN | Not aware of Resident 13's foot rashes but planned to request treatment orders. |
| Director of Staff Development | DSD | Reported staffing information was kept in binder, not posted. |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Dec 16, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and facility operations at Fremont Healthcare Center.
Findings
The facility was found deficient in multiple areas including failure to honor a resident's religious preference for a male CNA resulting in lack of showering, inoperable bathroom sink affecting resident hygiene, delayed transmission of resident assessments, inadequate foot care for a diabetic resident, environmental hazards such as warped flooring and unsafe smoking practices, failure to post nurse staffing information, and food safety violations including improper food storage and unsanitary equipment.
Deficiencies (8)
Failed to support Resident 120's preference for a male CNA for personal hygiene, resulting in no shower for three weeks.
Failed to provide a functional bathroom sink for Resident 8, limiting her ability to perform personal hygiene.
Failed to transmit completed annual and quarterly resident assessments within required timeframes for multiple residents.
Failed to provide appropriate foot care for Resident 13, resulting in intense itching and risk of infection.
Failed to keep environment free from accident hazards including warped flooring creating tripping hazard and unsafe storage of smoking materials by Resident 119.
Failed to post daily nurse staffing information in a prominent place accessible to residents and visitors.
Failed to store food in accordance with professional standards including unlabeled opened food, raw food stored improperly, rusty refrigerator walls, unsanitary ice machine, and peeling plate covers.
Failed to complete a smoking care plan for Resident 119 despite assessment indicating need.
Report Facts
Residents with overdue MDS transmissions: 23
Residents sampled: 12
Residents affected by warped flooring: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant 2 | CNA | Reported Resident 120's preference for male CNA and frustration due to lack of male CNA availability. |
| Unit Manager | UM | Reviewed care plans and was unaware of Resident 120's preference for male CNA; also reviewed Resident 13's records. |
| Maintenance Director | MD | Reported on warped flooring, sink repairs, and ice machine sanitation issues. |
| Administrator | ADM | Provided information on sink repair timing and staffing coordinator vacancy. |
| Licensed Vocational Nurse 2 | LVN | Assisted with MDS assessments and reported backlog. |
| Director of Nursing | DON | Reported on MDS transmission responsibility and lack of smoking care plan for Resident 119. |
| Licensed Vocational Nurse 1 | LVN | Observed and reported on Resident 13's foot rashes and treatment. |
| Treatment Nurse | TN | Acknowledged lack of knowledge about Resident 13's foot rashes and intention to request physician order. |
| Director of Food and Nutrition Services | DFNS | Observed food storage and sanitation issues in kitchen. |
| Dietary Aide | DA | Reported on refrigerator leaks and food deliveries. |
| Director of Staff Development | DSD | Reported staffing information was kept in binder, not posted. |
| Occupational Therapist | OT | Reported on tripping hazard due to warped flooring. |
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