3 Reports
Inspection Report — Apr 2, 2024
Date: Apr 2, 2024
Visit Reason
Increase capacity from 28 to 58 residents by adding 30 assisted living beds through renovation of the 3rd floor wings E, F & G.
Findings
The facility is approved to add 30 beds designated for assisted living, increasing total capacity from 28 to 58 beds.
Report Facts
Inspection Report — Feb 28, 2024
Original Licensing
Date: Feb 28, 2024
Visit Reason
Original license application.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities.
Inspection Report — Dec 3, 2019
Original Licensing
Date: Dec 3, 2019
Visit Reason
Original license application for a home for the aged with programs for aged and Alzheimer’s disease or related condition care.
Findings
The study determined substantial compliance with home for the aged public health code and applicable administrative rules.
Report Facts
License length: 6
3 CMS Surveys
Inspection Report — Feb 20, 2025
Plan of Correction
Date: Feb 20, 2025
Visit Reason
An acceptable corrective action plan has been received.
Findings
No health deficiencies found.
Inspection Report — Mar 28, 2024
Complaint Investigation
Date: Mar 28, 2024
Visit Reason
Investigation of a complaint received on 2024-03-28 about advance directives, psychotropic medication monitoring, and infection control.
Complaint Details
Advance directives discrepancies for two residents: established. Failure to monitor psychotropic medication effectiveness for two residents: established. Improper storage of nebulizer mask for one resident: established.
Findings
Three deficiencies were found related to advance directives, psychotropic medication monitoring, and infection control practices.
Deficiencies (3)
F 0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive: the facility failed to ensure legal representatives completed or revised DNR orders for two residents, resulting in discrepancies between advance directives and physician orders.
F 0758 Implement gradual dose reductions and non-pharmacological interventions prior to initiating or continuing psychotropic medication; and PRN orders are only used when necessary: the facility failed to adequately monitor the effectiveness of psychotropic medications for two residents, with no documentation of monitoring or side effects on the Medication Administration Record.
F 0880 Provide and implement an infection prevention and control program: the facility failed to properly store a nebulizer mask for one resident, placing residents at risk for cross-contamination and infection.
Inspection Report — May 10, 2023
Plan of Correction
Date: May 10, 2023
Visit Reason
Plan of correction accepted for previously cited deficiencies.
Findings
No health deficiencies found.
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