Inspection Report
Standard
Deficiencies: 0
Sep 25, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2023 with deficiency history and inspection statuses.
Findings
Across multiple inspections from 2018 to 2023, the facility had several inspections with no deficiencies, some with deficiencies cited, and others with deficiencies corrected. The most recent inspections in 2023 include both cited and corrected deficiencies.
Report Facts
Inspections on page: 12
Inspection Report
Routine
Deficiencies: 11
Aug 3, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2023 with deficiency history and enforcement findings.
Findings
Across all inspections, multiple Class 3 deficiencies were cited primarily related to staffing standards, staff training, resident care rights, medication storage, records maintenance, and emergency management planning. No higher severity classes were noted.
Complaint Details
Complaint investigations were conducted on 10/19/2022 and 10/28/2022 with Class 3 deficiencies cited related to staffing standards, resident care rights, and medication storage.
Severity Breakdown
Class 3: 11
Deficiencies (11)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF: Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting no signs or symptoms of communicable disease. | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE: Each new assisted living facility employee must attend a preservice orientation of at least 2 hours before interacting with residents. | Class 3 |
| A0082 — TRAINING - HIV/AIDS: Facility employees must complete a one-time education course on HIV and AIDS within 30 days of employment. | Class 3 |
| A0086 — TRAINING - ADRD: Facilities providing special care for persons with ADRD must ensure staff receive required training. | Class 3 |
| A0161 — RECORDS - STAFF: Personnel records must contain documentation of background screening, training compliance, and licenses or certifications. | Class 3 |
| CZ841 — IN-PERSON VISITATION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES: Resident Bill of Rights must be posted and grievance procedures established. | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL: Residents may keep medications in possession if stored securely or locked when absent. | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS: Residents at risk for elopement must be identified and assessed within 30 days of admission. | Class 3 |
| A0160 — RECORDS - FACILITY: Facility must maintain required records readily available for review. | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING: Licensee must have a comprehensive emergency management plan and designate a safety liaison. | Class 3 |
Report Facts
Inspections on page: 15
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