Deficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Capacity: 153
Deficiencies: 13
Mar 27, 2023
Visit Reason
The re-licensure survey identified 12 deficiencies including failure to monitor changes of condition, incomplete RN assessments, inadequate documentation from outside providers, medication errors, lack of proper restraint assessments, insufficient staff training, and fire and life safety instruction deficiencies. Some deficiencies were not corrected on initial visits but corrected on later revisits.
Findings
The re-licensure survey identified 12 deficiencies including failure to monitor changes of condition, incomplete RN assessments, inadequate documentation from outside providers, medication errors, lack of proper restraint assessments, insufficient staff training, and fire and life safety instruction deficiencies. Some deficiencies were not corrected on initial visits but corrected on later revisits.
Deficiencies (13)
| Description |
|---|
| C0000 - Comment |
| C0270 - Change of Condition and Monitoring |
| C0280 - Resident Health Services |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc |
| C0303 - Systems: Treatment Orders |
| C0340 - Restraints and Supportive Devices |
| C0374 - Annual and Biennial Inservice For All Staff |
| C0420 - Fire and Life Safety: Safety |
| C0455 - Inspections and Investigation: Insp Interval |
| C0522 - Common Use Areas: Social |
| C0640 - Heating and Ventilation |
| Z0142 - Administration Compliance |
| Z0155 - Staff Training Requirements |
Inspection Report
Capacity: 153
Deficiencies: 5
Jan 17, 2023
Visit Reason
The state licensure inspection identified 4 deficiencies related to kitchen cleanliness and repair, infection prevention and control, and compliance with licensing rules. Some deficiencies were corrected on subsequent visits while others remained uncorrected.
Findings
The state licensure inspection identified 4 deficiencies related to kitchen cleanliness and repair, infection prevention and control, and compliance with licensing rules. Some deficiencies were corrected on subsequent visits while others remained uncorrected.
Deficiencies (5)
| Description |
|---|
| C0000 - Comment |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0295 - Infection Prevention & Control |
| Z0142 - Administration Compliance |
| Z0162 - Compliance With Rules Health Care |
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