Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Monitoring
Census: 56
Deficiencies: 1
Aug 18, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards related to the admission of a resident with serious cognitive impairment without proper documentation of placement determination in the special care unit. A violation notice was issued and the facility was given the opportunity to submit a plan of correction.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure that prior to admitting a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia to a safe, secure environment, the licensee, administrator, or designee determined whether placement in the special care unit is appropriate. |
Report Facts
Number of residents present: 56
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of resident interviews: 1
Number of staff interviews: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nina Wilson | Licensing Inspector | Inspector conducting the monitoring visit |
Inspection Report
Renewal
Census: 55
Deficiencies: 0
Jun 11, 2024
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable standards and licensing requirements.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector toured the physical plant and observed residents engaged in various activities without identifying any deficiencies.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Inspection Report
Renewal
Census: 206
Deficiencies: 1
May 10, 2023
Visit Reason
An unannounced renewal inspection was conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance related to staff certification requirements, specifically that two staff members did not have current first aid certification as required.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that each direct care staff member maintains current certification in first aid from approved organizations. |
Report Facts
Residents in care: 206
Resident records reviewed: 10
Staff records reviewed: 4
Inspection Report
Monitoring
Deficiencies: 0
Aug 23, 2022
Visit Reason
An unannounced focused monitoring inspection was conducted on 8/23/22 to follow-up on high-risk violations that were cited on 6/9/22.
Findings
Building and grounds were inspected and resident records were observed. No violations were cited during the inspection.
Inspection Report
Monitoring
Census: 49
Deficiencies: 3
Jun 9, 2022
Visit Reason
An unannounced monitoring inspection was conducted to review meals, medication administration, activities, building and grounds, records, and interviews.
Findings
The inspection identified violations related to assessment of serious cognitive impairment, medication storage, and availability of PRN medications. Plans of correction were requested for each violation.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure that each resident is assessed by an independent clinical psychologist or physician for serious cognitive impairment prior to admission to the safe, secure environment. |
| Facility failed to ensure medication storage is limited to an out-of-sight place in rooms of residents capable of self-administering medication. |
| Facility failed to ensure that medications ordered for PRN administration are available and properly stored at the facility. |
Report Facts
Residents in care: 49
Resident records reviewed: 8
Staff records reviewed: 4
Individual interviews conducted: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nina Wilson | Inspector | Current inspector conducting the inspection |
| Assisted Living Administrator | Responsible person for plan of correction related to cognitive impairment assessment and medication storage | |
| Assisted Living Charge Nurse | Responsible person for plan of correction related to PRN medication availability and storage |
Inspection Report
Routine
Census: 49
Deficiencies: 0
May 10, 2021
Visit Reason
The inspection was initiated as a routine visit to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found no violations with applicable standards or law. No deficiencies were issued during the inspection.
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