Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 4
Jul 31, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-08-14 to 2025-07-31 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies primarily involved failure to notify the Department of manager changes, incomplete personnel records, and failure to update resident service plans timely. Some complaint investigations found no deficiencies.
Complaint Details
Multiple complaint investigations were conducted, with some resulting in deficiencies related to management notification and resident service plan updates, while others found no deficiencies.
Deficiencies (4)
| Description |
|---|
| R9-10-803.A.7. Administration: Failed to notify the Department of a change in the manager as required. |
| R9-10-806.C.1.a-c. Personnel: Manager failed to ensure personnel records included required documentation such as skills, CPR, and first aid training. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is reviewed and updated no later than 14 calendar days after a significant change in condition: Failed to update resident service plan timely after significant change. |
| A. A governing authority shall: 7. Notify the Department when there is a change in the manager and identify the name and qualifications of the new manager: Failed to notify Department of manager change in March 2023. |
Report Facts
Inspections on page: 5
Total deficiencies: 4
Complaint inspections: 4
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ladywinnie Allison | Named as person responsible for deficiency related to failure to notify Department of manager change | |
| Cindi Buller | Manager | Named as person responsible for deficiency related to incomplete personnel records |
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