Inspection Report Summary
The most recent inspection on August 20, 2024, identified deficiencies related to administration, quality management, patient rights, hospice services, and infection control. Earlier inspections were not detailed in the available reports, so broader patterns are unclear. The main issues involved failures in governing authority oversight, medication management, quality improvement documentation, protection against patient retaliation, personnel assignments, and infection control program implementation. No fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations were substantiated in this case, and there is no clear trend due to limited historical data.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| R9-10-603. Administration — failures in governing authority review, administrator policies and procedures, documentation, and medication management; R9-10-604. Quality Management — failure to implement and document quality improvement plans; R9-10-610. Patient Rights — failure to protect patients from retaliation; R9-10-612. Hospice Services — improper personnel assignments; R9-10-614. Infection Control — failure to establish infection control program |
| Name | Title | Context |
|---|---|---|
| Megan Foster, LCSW | LCSW | Mentioned in findings summary related to complaint investigation |
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