Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 2
Jun 3, 2025
Visit Reason
The inspection was conducted as a complaint survey to investigate allegations related to staff qualifications and compliance with the Employee Abuse Registry and Caregivers Criminal History Screening Program requirements.
Findings
The facility failed to ensure that two direct care staff (DCS #1 and DCS #4) were cleared by the Employee Abuse Registry prior to hire and that their applications and fingerprints were submitted to the Caregivers Criminal History Screening Program within 20 days of hire, posing a risk of harm or abuse to residents.
Complaint Details
Complaint Intake NM was investigated and deficiencies were cited related to staff qualifications and registry clearance.
Deficiencies (2)
| Description |
|---|
| Failed to ensure two direct care staff were cleared by the Employee Abuse Registry prior to hire. |
| Failed to ensure applications and fingerprints for two direct care staff were submitted to the Caregivers Criminal History Screening Program within 20 days of hire. |
Report Facts
Number of direct care staff reviewed: 4
Number of direct care staff with deficiencies: 2
Date of hire for DCS #1: Feb 4, 2025
Date of hire for DCS #4: Apr 25, 2025
Date of clearance for DCS #4: May 19, 2025
Loading inspection reports...
