Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 48
Capacity: 55
Deficiencies: 2
May 20, 2024
Visit Reason
Complaint investigation identified deficiencies related to licensing compliance and acuity-based staffing tool implementation. Both deficiencies were not corrected at the time of visit.
Findings
Complaint investigation identified deficiencies related to licensing compliance and acuity-based staffing tool implementation. Both deficiencies were not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0361 - Acuity-Based Staffing Tool |
Inspection Report
Census: 48
Capacity: 55
Deficiencies: 4
Oct 6, 2023
Visit Reason
State licensure survey with deficiencies in kitchen food sanitation, administration compliance, inspection intervals, and related areas. Some deficiencies were corrected by the second revisit in 2024, others remained not corrected.
Findings
State licensure survey with deficiencies in kitchen food sanitation, administration compliance, inspection intervals, and related areas. Some deficiencies were corrected by the second revisit in 2024, others remained not corrected.
Deficiencies (4)
| Description |
|---|
| C0000 - Comment |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0455 - Inspections and Investigation: Insp Interval |
| Z0142 - Administration Compliance |
Inspection Report
Census: 48
Capacity: 55
Deficiencies: 7
Oct 10, 2022
Visit Reason
Validation and re-licensure survey identified deficiencies in facility administration, service plans, infection prevention, medication administration, compliance with health care rules, and behavior plans. Many deficiencies were corrected by the first revisit in early 2023.
Findings
Validation and re-licensure survey identified deficiencies in facility administration, service plans, infection prevention, medication administration, compliance with health care rules, and behavior plans. Many deficiencies were corrected by the first revisit in early 2023.
Deficiencies (7)
| Description |
|---|
| C0000 - Comment |
| C0154 - Facility Administration: Policy & Procedure |
| C0260 - Service Plan: General |
| C0295 - Infection Prevention & Control |
| C0310 - Systems: Medication Administration |
| Z0162 - Compliance With Rules Health Care |
| Z0165 - Behavior |
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