Inspection Report Summary
The most recent inspection on June 18, 2025, was a complaint investigation that found no violations. Earlier inspections showed a pattern of deficiencies related mainly to resident supervision and care, including incidents of residents eloping and a medication error that resulted in hospitalization. Prior reports also noted issues with care planning and timely physician documentation for residents in the memory care unit. Complaint investigations were mostly unsubstantiated except for one substantiated case involving inadequate supervision that led to a resident eloping. The facility’s inspection history shows some improvement in recent years, with no deficiencies cited in the latest complaint investigations.
Deficiencies (last 7 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
MonitoringInspection Report
Follow-UpInspection Report
Routine| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed staff who confirmed residents' diagnoses, elopement incidents, and failure to report to the Department |
Inspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Staff C | LPN | Named in medication error finding |
| Staff B | Interviewed regarding the medication error incident |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed regarding care plan development timeline | |
| Staff A | Interviewed regarding Resident #1 diagnosis and placement |
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