Inspection Report Summary
The most recent inspection on August 1, 2025, found deficiencies related to assessments, care plans, medication storage, infection control, and environmental safety. Earlier inspections were not provided for comparison, so broader patterns cannot be determined from the available information. The main issues involved documentation accuracy, expired medications, infection prevention practices, and maintenance concerns such as water damage and malfunctioning call systems. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and no complaint investigations were noted. Without prior inspection data, it is unclear whether these findings represent a new or ongoing trend.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description | Severity |
|---|---|
| Accuracy of Assessments - Registered nurse must sign and certify assessments; penalty for falsification; discrepancies found in MDS assessments. | Level D |
| Develop and Implement Comprehensive Care Plan - Care plans lacked documentation of resident and family participation; no evidence of care plan meetings for some residents. | Level D |
| Storage of Drugs and Biologicals - Expired medications found in medication room refrigerator and hall medication refrigerator. | Level D |
| Food that accommodates resident allergies, intolerances, and preferences - Facility failed to ensure residents received food accommodating allergies and preferences. | Level D |
| Infection Prevention and Control - Facility failed to maintain infection prevention program; staff failed to use appropriate PPE and follow hygiene procedures. | Level D |
| Resident Call System - Call lights malfunctioning; some residents unable to use call system properly. | Level E |
| Environmental Safety - Water damage and ceiling issues in resident rooms; mold and discolored areas noted. | Level E |
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