Inspection Reports for Hacienda Hill Manor
5544 Surrey Street, Las Vegas, NV 89119, NV, 89119
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Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 5
Aug 12, 2025
Visit Reason
The inspection was conducted as an annual State Licensure survey of Hacienda Hill Manor, a Residential Facility for Groups, to assess compliance with Nevada Administrative Code Chapter 449.
Findings
The facility was found deficient in several areas including caregiver training, personnel file documentation, medication administration, and resident care planning. Multiple employees lacked required annual training and certifications, a resident did not receive prescribed medication per physician orders, and an initial Activities of Daily Living assessment and Person-Centered Service Plan were missing for one resident.
Severity Breakdown
Severity: 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 employees completed annual caregiver training. | Severity: 2 |
| Facility failed to ensure an annual signs and symptoms TB questionnaire was completed for 1 of 5 employees. | Severity: 2 |
| Facility failed to ensure 3 of 5 employees received current CPR training. | Severity: 2 |
| Facility failed to ensure Medication Administration Record was accurate and a resident received medications per physician orders; physician was not notified of missed doses. | Severity: 2 |
| Facility failed to ensure an initial Activities of Daily Living Assessment and Person-Centered Service Plan were completed for 1 of 6 residents. | Severity: 2 |
Report Facts
Number of beds: 6
Census: 6
Employees reviewed: 5
Residents reviewed: 6
Deficiencies cited: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Signed the report and involved in corrective actions |
| Employee #5 | Caregiver | Failed to complete annual caregiver training |
| Employee #2 | Caregiver | Missing annual TB signs and symptoms questionnaire and CPR training expired |
| Employee #3 | Caregiver | CPR training expired and not documented as current |
| Employee #4 | Caregiver | CPR training expired and not documented as current |
| Lead Caregiver | Acknowledged missing training and documentation during inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Aug 12, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility.
Findings
The facility received a grade of A with no substantiated complaints. Two regulatory deficiencies were identified: one related to incomplete CPR and first aid training for an employee, and another related to a missing screen on a kitchen window.
Complaint Details
One complaint (NV00071237) was investigated and found to be unsubstantiated with no regulatory deficiencies identified.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 4 employees received CPR and first aid training with an in-person component as required by regulation. | 2 |
| Facility failed to ensure a screen was on one of three kitchen windows to prevent insect entry. | 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Employees reviewed: 4
Resident files reviewed: 5
Severity 2 deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #4 | Caregiver | Named in deficiency for incomplete CPR and first aid training |
| Employee #1 | Acknowledged CPR training deficiency for Employee #4 |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Aug 8, 2023
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One deficiency was identified related to an exterior gate that was found unlocked and partially opened, which should have been locked to ensure resident safety.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure an exterior gate, which exits to the street, was locked. A gate in the backyard was found unlocked and partially opened. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 6
Scope: 3
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 3
Mar 2, 2023
Visit Reason
The inspection was conducted as a complaint investigation survey triggered by complaint #NV00067644, which was substantiated.
Findings
The facility was found to have multiple deficiencies including failure to keep the environment free from hazards such as a hot space heater near a resident's bed, failure to ensure bedfast residents had proper waivers, and failure to secure toxic substances from residents.
Complaint Details
Complaint #NV00067644 was substantiated.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to keep the environment free from hazards; a hot space heater was located about two feet from a resident's bed and could have caused burns. | 2 |
| Facility failed to ensure two bedfast residents had bedfast waivers to be retained at the facility and one resident was restrained without waiver. | 2 |
| Facility failed to ensure toxic substances such as bleach and cleaners were not accessible to residents; these were found in unlocked areas. | 2 |
Report Facts
Licensed beds: 6
Resident census: 5
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Signed the inspection report |
| Lead Caregiver C1 | Bedfast Trained Lead Caregiver | Responsible for monitoring patients needing BedFast Waivers and notifying the Administrator |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Aug 2, 2022
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Oct 18, 2021
Visit Reason
The inspection was conducted as an annual grading and infection control State Licensure survey combined with a complaint investigation at the facility.
Findings
The facility received a grade of A. One complaint was substantiated regarding failure to test residents for COVID-19 after an employee tested positive. Two regulatory deficiencies were cited: failure to implement safe infection control practices related to COVID-19 testing, and failure to secure a rake in the backyard posing a safety risk.
Complaint Details
Complaint #64770 with two allegations was investigated. Allegation #1 regarding failure to test residents for COVID-19 after an employee tested positive was substantiated. Allegation #2 regarding lesions on a resident was substantiated without deficiencies based on medical records and interviews.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to implement safe infection control practices by not testing residents and employees for COVID-19 after an employee tested positive, contrary to facility policy. | Severity: 2 |
| Failure to ensure a rake in the backyard was secured, posing a danger to residents. | Severity: 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Complaint allegations substantiated: 1
Severity 2 deficiencies: 2
Inspection Report
Routine
Census: 6
Capacity: 6
Deficiencies: 1
Nov 19, 2020
Visit Reason
The inspection was a COVID-19 focused infection control State Licensure survey conducted to assess compliance with infection control practices during the COVID-19 pandemic.
Findings
The facility implemented multiple infection control measures including visitor screening, staff PPE use, and resident social distancing; however, it failed to have N95 masks available and staff medically cleared and fit tested to wear them as recommended.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to have N95 masks available and staff medically cleared and fit tested to wear N95 masks as recommended for COVID-19 infection control. | Severity: 2 |
Report Facts
Licensed beds: 6
Census: 6
Inventory counts: 25
Inventory counts: 150
Inventory counts: 800
Deficiency correction date: Dec 29, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Named as the administrator responsible for oversight and monitoring compliance with infection control practices |
Inspection Report
Re-Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Mar 5, 2020
Visit Reason
This inspection was conducted as a state licensure re-grading survey of the residential facility for groups, in accordance with Nevada Administrative Code Chapter 449.
Findings
The facility was found to be in compliance with no regulatory deficiencies identified and received a grade of A. The survey included review of resident and employee files and confirmed adherence to applicable regulations.
Report Facts
Resident files reviewed: 3
Employee files reviewed: 4
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 7
Nov 12, 2019
Visit Reason
The inspection was conducted as part of the Annual Grading State Licensure Survey and Complaint Investigation Survey at the facility on 11/12/19. One complaint was investigated during this visit.
Findings
The facility received a grade of C with multiple deficiencies identified including failure to designate an employee in charge during the administrator's absence, expired medication management training for one employee, lack of a staff schedule, expired CPR certification for one employee, poor maintenance of the backyard, unlabeled over-the-counter medications for two residents, and a disabled front door alarm.
Complaint Details
One complaint (#NV00059051) was investigated with allegations that the resident arrived at the hospital with altered mental status and an injured knee, the owner refused to pick up the resident after hospital discharge, and the resident was abandoned by the facility. These allegations were not substantiated after interviews and record reviews.
Severity Breakdown
Level 1: 2
Level 2: 5
Deficiencies (7)
| Description | Severity |
|---|---|
| Administrator failed to designate and post in a public place one or more employees to oversee the facility when the Administrator was absent. | Level 1 |
| Facility failed to ensure 1 of 4 employees completed the required 8 hours of annual medication management refresher training; Employee #2's training was expired as of 11/10/19. | Level 2 |
| Facility did not have a staff schedule available to review. | Level 1 |
| Facility failed to ensure 1 of 4 employees had a current CPR certification; Employee #1's CPR certification expired on 11/16/17. | Level 2 |
| Facility failed to ensure the backyard was properly maintained and free of equipment and debris. | Level 2 |
| Facility failed to ensure over-the-counter medications were labeled with the resident's name and prescribing physician for 2 of 4 residents. | Level 2 |
| Facility failed to ensure an audible alarm worked when the front door was opened; the alarm had been turned off. | Level 2 |
Report Facts
Licensed beds: 6
Resident census: 4
Deficiency severity counts: 2
Deficiency severity counts: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gerry Mujeres | Duty Manager | Designated to be in charge when the administrator is absent. |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 3
Dec 24, 2018
Visit Reason
The inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code (NAC) Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to provide a current dated menu, failure to encourage residents to participate in scheduled activities, and failure to secure toxic substances from residents.
Severity Breakdown
Level 1: 1
Level 2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to provide a current dated menu; a menu posted in the dining room was not dated and was not changed from month to month. | Level 1 |
| Failure to encourage 4 of 4 residents to participate in regularly scheduled daily activities; activities were not announced and residents were not encouraged to participate. | Level 2 |
| Failure to ensure toxic substances were secured; a bottle of auto cleaner was found unsecured in the laundry room. | Level 2 |
Report Facts
Residents present: 4
Licensed capacity: 6
Deficiency severity Level 1: 1
Deficiency severity Level 2: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Signed as Administrator on the report |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 3
Dec 14, 2017
Visit Reason
The inspection was conducted as an annual State Licensure survey of the residential facility for group beds for elderly and disabled persons, including those with Alzheimer's disease.
Findings
The facility received a grade of A but had several regulatory deficiencies including failure to ensure one resident had up-to-date tuberculosis testing, two doors lacked operational audible alarms, and toxic substances were accessible to residents with Alzheimer's disease.
Severity Breakdown
2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure one of four residents met tuberculosis testing requirements; missing documentation of a single step TB test in 2017 for Resident #4. | 2 |
| Two doors leading outside did not have operating audible alarms as required for Alzheimer's facilities. | 2 |
| Toxic substances including chemical cleaners were accessible to residents with Alzheimer's disease due to an unlocked cabinet under the kitchen sink. | 2 |
Report Facts
Licensed capacity: 6
Census: 4
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crisanta Pasion | Administrator | Named as facility administrator and signer of report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jan 25, 2016
Visit Reason
This Statement of Deficiencies was generated as a result of an annual State Licensure survey conducted in the facility on 1/25/16 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A with no deficiencies identified and is in substantial compliance with the regulations.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Jan 8, 2015
Visit Reason
This inspection was conducted as an annual State Licensure survey to assess compliance with regulatory requirements for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but had deficiencies related to personnel files, including incomplete tuberculosis testing and physical examinations, incomplete background checks, and a malfunctioning door alarm. Corrective actions and compliance monitoring were planned.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure 3 of 5 employees met tuberculosis (TB) and pre-employment physical examination requirements. | Severity: 2 |
| Facility failed to ensure 2 of 5 employees met background check requirements. | Severity: 2 |
| Facility failed to ensure alarm for 1 of 2 primary door exits functioned properly. | Severity: 2 |
Report Facts
Number of residents present: 6
Total licensed capacity: 6
Number of employees reviewed: 5
Number of resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Failed background check requirements | |
| Employee #2 | Lacked documented evidence of pre-employment physical exam and TB testing | |
| Employee #3 | Incomplete TB testing documentation | |
| Employee #4 | Positive TB test and incomplete annual signs and symptoms documentation | |
| Employee #5 | Failed background check requirements |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Jan 8, 2015
Visit Reason
This annual State Licensure survey was conducted to assess compliance with state regulations for a residential facility providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of A but was found deficient in maintaining complete personnel files, including tuberculosis testing and background checks for several employees, and failed to ensure proper functioning of an Alzheimer's facility door alarm.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 5 employees met tuberculosis and pre-employment physical examination requirements. | Severity: 2 |
| Failed to ensure 2 of 5 employees met background check requirements. | Severity: 2 |
| Failed to ensure an alarm for 1 of 2 primary door exits functioned properly. | Severity: 2 |
Report Facts
Number of employees reviewed: 5
Number of resident files reviewed: 6
Facility licensed capacity: 6
Current census: 6
Inspection Report
Re-Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Apr 16, 2014
Visit Reason
This was a re-grading State Licensure survey conducted to assess compliance with medication administration regulations.
Findings
The facility was found to have a discrepancy between the physician's prescription and the medication administration record (MAR) for one of six residents reviewed, specifically Resident #5. The facility received a grade of A.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the medication administration record (MAR) was accurate for Resident #5, with a discrepancy between the physician prescription and MAR for benzontate 200 mg capsule. | Severity: 2 |
Report Facts
Residents reviewed: 5
Employee files reviewed: 4
Licensed capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Acknowledged discrepancy between MAR and physician prescription |
Inspection Report
Re-Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Apr 16, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of a re-grading State Licensure survey conducted on 04/16/2014 at Hacienda Hill Manor, a residential facility for persons with Alzheimer's disease.
Findings
The facility received a grade of A but was found to have a medication administration record (MAR) discrepancy for 1 of 6 residents (Resident #5), where the MAR did not accurately reflect the physician's prescription for benzonate 200 mg capsules.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Medication administration record (MAR) was inaccurate for Resident #5, showing a discrepancy between the physician prescription and MAR for benzonate 200 mg capsule. | 2 |
Report Facts
Licensed beds: 6
Residents present: 5
Resident files reviewed: 5
Employee files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Acknowledged the discrepancy between the MAR and the physician prescription |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 9
Jan 7, 2014
Visit Reason
The inspection was a State Licensure annual grading survey conducted on 1/7/14 to assess compliance with regulations for a residential facility for group beds providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to ensure annual elder abuse training for employees, incomplete tuberculosis testing and background checks, lack of first aid/CPR certification for caregivers, medication administration errors, and failure to secure the facility gate.
Severity Breakdown
1: 2
2: 7
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 5 employees received annual elder abuse training as required. | 2 |
| Failure to ensure 2 of 5 employees complied with tuberculosis testing and pre-employment physical requirements. | 2 |
| Failure to ensure 2 of 5 employees met background check requirements; FBI fingerprints rejected and not resubmitted. | 2 |
| Failure to ensure 1 of 5 caregivers was trained in first aid and CPR. | 2 |
| Failure to ensure personnel files were available for review at all times (Employee #5). | 1 |
| Failure to ensure 2 of 6 residents received medications as prescribed; medication administration record inaccuracies and medication not on site. | 1 |
| Failure to ensure 1 of 6 residents complied with tuberculosis testing requirements; missing annual TB test. | 2 |
| Failure to ensure the gate to the Alzheimer's facility yard was locked at all times. | 2 |
| Failure to ensure 1 of 5 employees had required initial Alzheimer's training within the correct timeframe. | 2 |
Report Facts
Census: 6
Total Capacity: 6
Employees reviewed: 5
Residents reviewed: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 10
Jan 7, 2014
Visit Reason
This State Licensure annual grading survey was conducted on 1/7/14 to assess compliance with state regulations for a Residential Facility for Group providing care to persons with Alzheimer's disease.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to ensure annual elder abuse training for employees, incomplete personnel files regarding tuberculosis testing, background checks, and first aid/CPR certification, medication administration errors, missing resident tuberculosis testing, unsecured Alzheimer's facility gate, and inadequate dementia training for employees.
Severity Breakdown
2: 9
1: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Administrator failed to ensure 2 of 5 employees received annual elder abuse training as required by NRS 449.093. | 2 |
| Facility failed to ensure 2 of 5 employees complied with tuberculosis testing and pre-employment physical requirements. | 2 |
| Facility failed to ensure 2 of 5 employees met background check requirements; FBI fingerprints were rejected and not resubmitted. | 2 |
| Facility failed to ensure 1 of 5 caregivers was trained in first aid and CPR. | 2 |
| Facility failed to ensure employee files were available for review at all times (Employee #5). | 1 |
| Facility failed to ensure 2 of 6 residents received medications as prescribed, including missing medication and incorrect administration frequency. | 2 |
| Facility failed to ensure medication administration records (MAR) were accurate for 2 of 6 residents inspected. | 2 |
| Facility failed to ensure 1 of 6 residents complied with tuberculosis testing requirements; missing annual 2013 TB test. | 2 |
| Facility failed to ensure the gate in an Alzheimer's endorsed facility was secured; lock on front gate was unlocked. | 2 |
| Facility failed to ensure 1 of 5 employees had required initial Alzheimer's training within the first 40 hours of hire. | 2 |
Report Facts
Facility licensed beds: 6
Current census: 6
Employees reviewed: 5
Residents reviewed: 6
Deficiency severity 2 count: 9
Deficiency severity 1 count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Failed to receive 2013 annual elder abuse training | |
| Employee #2 | Failed to receive 2013 annual elder abuse training | |
| Employee #3 | Caregiver | Failed TB testing and pre-employment physical, background check, first aid/CPR training |
| Employee #4 | Failed to obtain required initial Alzheimer's training within first 40 hours | |
| Employee #5 | Failed TB testing and pre-employment physical, background check, employee file not available on site |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 6
Oct 7, 2013
Visit Reason
This inspection was conducted as a complaint investigation from 3/14/13 through 10/7/13 regarding allegations of failure to take pressure sore precautions and other regulatory compliance issues at Hacienda Hill Manor.
Findings
The facility was found to have multiple deficiencies including failure to take pressure ulcer precautions for one resident, failure to obtain an exemption for a bedfast resident, improper medication storage, unsecured resident files, and unsafe storage of dangerous items and toxic substances. Several deficiencies were substantiated with severity levels ranging from 1 to 3.
Complaint Details
Complaint #NV00034824 was substantiated. The allegation that the facility failed to take pressure sore precautions was substantiated.
Severity Breakdown
Severity: 1: 1
Severity: 2: 4
Severity: 3: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to take pressure ulcer precautions for one of four residents. | Severity: 3 |
| Failure to obtain an exemption for a bedfast resident. | Severity: 2 |
| Failure to ensure medications were kept in a locked container. | Severity: 2 |
| Failure to keep resident files locked in a cabinet. | Severity: 1 |
| Failure to ensure dangerous items (knives) were inaccessible to residents. | Severity: 2 |
| Failure to ensure toxic substances (cleaning chemicals) were inaccessible to residents. | Severity: 2 |
Report Facts
Census: 4
Total Capacity: 6
Severity 1 Deficiencies: 1
Severity 2 Deficiencies: 4
Severity 3 Deficiencies: 1
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 7
Oct 7, 2013
Visit Reason
This inspection was conducted as a complaint investigation from 2013-03-14 through 2013-10-07 regarding allegations of failure to take pressure sore precautions and other deficiencies.
Findings
The facility was found to have substantiated deficiencies including failure to take pressure sore precautions for one resident, retention of a bedfast resident without exemption, unsecured medication storage, unsecured resident files, and failure to secure dangerous and toxic items from residents.
Complaint Details
Complaint #NV00034824 was substantiated regarding failure to take pressure sore precautions.
Severity Breakdown
Level 1: 1
Level 2: 5
Level 3: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility retained a bedfast resident (Resident #1) without meeting admission policy requirements. | Level 2 |
| Failed to ensure pressure ulcer precautions were taken for 1 of 4 residents (Resident #1) with stage 3, 4, and unstageable pressure ulcers. | Level 3 |
| Failed to obtain an exemption for a bedfast resident (Resident #2). | Level 2 |
| Failed to ensure medications were kept in a locked container; Employee #1's medication was unsecured in her bedroom. | Level 2 |
| Failed to keep resident files in a locked cabinet; cabinet containing former resident files was unsecured. | Level 1 |
| Failed to ensure dangerous items (knives) were inaccessible to residents; unsecured drawer in kitchen. | Level 2 |
| Failed to ensure toxic substances (cleaning chemicals) were inaccessible to residents; unsecured cabinet below kitchen sink. | Level 2 |
Report Facts
Licensed beds: 6
Resident census: 4
Severity 2 deficiencies: 5
Severity 3 deficiencies: 1
Severity 1 deficiencies: 1
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