Inspection Report
Complaint Investigation
Deficiencies: 5
Jun 25, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2021-08-01 to 2025-07-31 with deficiency history and enforcement summary.
Findings
Across 5 inspections from August 2021 through July 2025, the facility had 5 total violations from 2 inspections, with 3 inspections resulting in no violations. No enforcement actions were taken during this period.
Complaint Details
Two complaint surveys were conducted, one on January 9, 2025 with one violation and plan of correction approved, and one on June 25, 2025 with no violations and no plan required.
Deficiencies (5)
| Description |
|---|
| 488.9 (a) (2) (iv) — Personnel: Failed to conduct an initial program of orientation and in-service training including discussion of duties and responsibilities. |
| 488.7 (d) (1)(i-iii) — Resident services: Medication assistance requirements not met regarding self-administration and storage. |
| 488.7 (d) (8) (vii) — Resident services: Medications not disposed of according to physician's or pharmacist's instructions. |
| 488.12 (g) — Disaster and emergency procedures: Fire drills not conducted at least once every six months with residents and staff participation. |
| 488.12 (h) — Disaster and emergency procedures: Annual fire drill observation by local fire authorities or certified agency not arranged. |
Report Facts
Inspections on page: 5
Total violations: 5
No-violation inspections: 3
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