The most recent inspection on April 11, 2025, identified two deficiencies related to medication administration and emergency responder patient information during a complaint investigation. Earlier inspections showed a pattern of deficiencies involving caregiver supervision, documentation, service planning, and safety measures such as securing oxygen containers. An enforcement action in March 2024 resulted in a $250 fine, which was paid in full, but no license suspensions or warnings were listed in the available reports. Complaint investigations included substantiated issues in the most recent report, while prior complaints were not noted. The facility’s inspection history shows ongoing areas for improvement, particularly in medication management and documentation, with no clear trend of improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found non-compliant for not verifying and documenting the skills of two assistant caregivers, resulting in a health and safety risk and a civil fine.
Fines & Penalties (1)
Amount
Reason
Status
$250.00
Failure to ensure assistant caregivers' skills and knowledge were verified and documented before providing physical health services.
Five deficiencies found related to caregiver supervision, skills verification, documentation maintenance, residency agreement, and service plan completeness.
Findings
Five deficiencies found related to caregiver supervision, skills verification, documentation maintenance, residency agreement, and service plan completeness.
Deficiencies (5)
Description
A. A manager shall ensure that: 2. An assistant caregiver: b. Interacts with residents under supervision
A. A manager shall ensure that: 4. Caregiver's or assistant caregiver's skills and knowledge are verified and documented
A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months
D. Manager shall ensure documented residency agreement includes night awake status
A. Manager shall ensure resident has written service plan including amount, type, frequency of services
