Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Life Safety
Deficiencies: 0
Aug 27, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility on 08/27/2025.
Findings
No violations were observed during this inspection, indicating full compliance with fire safety regulations.
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 1
Aug 14, 2025
Visit Reason
The department conducted an unannounced on-site complaint investigation on 08/14/2025 regarding infection control practices during a COVID outbreak at Highland Court Memory Care.
Findings
The facility failed to follow guidance from the Local Health Jurisdiction during a COVID outbreak by not ensuring staff were fit tested to wear N-95 respirators and by staff performing care on COVID positive residents without proper personal protective equipment (PPE). A failed provider practice was identified and citations were written.
Complaint Details
Infection Control: Staff were not fit tested and were observed performing care on COVID positive residents without proper PPE during a COVID outbreak. The complaint was substantiated with failed provider practice identified and citations written.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure staff were fit tested for an N95 respirator and failed to ensure staff donned personal protective equipment when entering COVID positive residents' rooms. |
Report Facts
Total residents: 35
Resident sample size: 3
Closed records sample size: 2
Staff fit tested: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Horlick | NCI RN Complaint Investigator | Investigator conducting the complaint investigation |
| Laurie Anderson | Community Field Manager | Signed letter addressing deficiencies |
| Clinton Fridley | Residential Care Services | Signed statement of deficiencies |
| Helen Miller | Administrator (or Representative) | Signed plan of correction and attestation statement |
Inspection Report
Follow-Up
Census: 9
Capacity: 35
Deficiencies: 0
Jul 16, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements.
Report Facts
Sample residents reviewed: 9
Total residents: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clinton Fridley | Adult Family Home Nurse Field Manager | Department staff who did the on-site verification during the follow-up inspection |
| Emily Boniface | Community Program Nurse Licensor | Department staff who inspected the Assisted Living Facility |
| Megan Zerby | Community ALF/AFH Licensor | Department staff who inspected the Assisted Living Facility |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Nov 6, 2023
Visit Reason
The investigation was conducted due to a complaint alleging quality of care concerns after a named resident was found on the floor with a head injury.
Findings
The facility failed to ensure a staff member locked the wheels on the resident’s wheelchair during a transfer, which placed the resident at risk for avoidable injuries. No other concerns were found for additional residents reviewed.
Complaint Details
Complaint related to quality of care after a named resident was found on the floor with a head injury. The allegation was substantiated with a failed provider practice identified and citation(s) written.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure a staff member locked the wheels on the resident’s wheelchair during a transfer to prevent avoidable injuries. |
Report Facts
Total residents: 33
Resident sample size: 2
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Phan Pham | Nurse Surveyor | Investigator who conducted the complaint investigation |
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