Inspection Reports for Our Home Adult Living
4180 Sierra Madre Dr, Reno, NV 89502, NV, 89502
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Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 5
Jul 3, 2025
Visit Reason
This inspection was conducted as an annual State Licensure survey of the residential facility for groups, to assess compliance with Nevada Administrative Code (NAC) 449 and related regulations.
Findings
The facility was found deficient in several areas including failure to complete annual physical examinations on time for 4 of 6 residents, improper labeling of medications missing prescribing physician's name for 2 residents, late tuberculosis testing for 1 resident, incomplete resident records regarding preferred names and gender identity for all residents, and failure to complete an annual person-centered service plan for 1 resident.
Severity Breakdown
Severity: 2: 4
Severity: 1: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure a physical examination was completed annually for 4 of 6 residents (Residents #1, #3, #4, and #5). | Severity: 2 |
| Medications were not labeled with the ordering physician's name for 2 of 6 residents (Residents #2 and #3). | Severity: 2 |
| Failure to ensure tuberculosis testing was completed within required timeframe for 1 of 6 residents (Resident #4). | Severity: 2 |
| Resident records failed to include preferred name, pronoun, gender identity or expression, and sexual orientation for all 6 residents. | Severity: 1 |
| Failure to ensure an annual person-centered service plan was completed for 1 of 6 residents (Resident #3). | Severity: 2 |
Report Facts
Residents reviewed: 6
Employee files reviewed: 3
Facility grade: B
Days late for Resident #1 physical exam: 32
Days late for Resident #4 physical exam: 30
Days late for Resident #5 physical exam: 44
Days late for Resident #4 Quantiferon Gold blood test: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Sapico | Owner/Director | Signed the report and confirmed findings during the inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Mar 27, 2025
Visit Reason
The inspection was conducted as a complaint survey triggered by complaint #NV00073627 alleging staff did not have annual medication management training.
Findings
The facility was found to have one substantiated deficiency related to failure of one employee to complete the required annual medication management training. Other allegations regarding maintenance and resident safety were not substantiated due to lack of evidence.
Complaint Details
Complaint #NV00073627 was substantiated regarding staff not having annual medication management training. Other allegations about maintenance and resident safety were not substantiated due to lack of evidence.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure one of four employees completed the required 8 hours of annual medication management training in a timely manner. | Severity: 2 |
Report Facts
Licensed beds: 6
Resident census: 6
Employees reviewed: 1
Resident files reviewed: 5
Complaint severity: 2
Complaint scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Caregiver | Named in deficiency for failure to complete required annual medication management training |
| Jonathan Sapico | Owner/Director | Confirmed Employee #1 did not complete required training and responsible for monitoring training compliance |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 14
Sep 26, 2024
Visit Reason
This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to ensure caregiver training, tuberculosis screening, CPR and first aid certification, development of person-centered service plans, medication administration and review, maintenance of resident files, infection control training, and compliance with resident rights and documentation requirements.
Severity Breakdown
Level 1: 1
Level 2: 12
Deficiencies (14)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 3 employees completed at least eight hours of annual caregiver training including dementia training. | Level 2 |
| Failed to ensure tuberculosis screening was completed for 3 of 4 employees in accordance with regulations. | Level 2 |
| Failed to ensure 3 of 4 employees maintained current CPR and first aid certification. | Level 2 |
| Failed to develop person-centered service plans addressing all required focus areas and interventions for 5 of 5 residents. | Level 2 |
| Failed to ensure pharmacy profile medication reviews were conducted every six months for 4 of 5 residents. | Level 2 |
| Failed to ensure medication profile reviews were reviewed and initialed by the Administrator within 72 hours for 2 of 4 residents. | Level 2 |
| Failed to maintain physician's order for as needed medication for 1 of 5 residents. | Level 2 |
| Failed to ensure discontinued medication was destroyed for 1 of 5 residents. | Level 2 |
| Failed to ensure 1 of 5 residents met tuberculosis testing requirements. | Level 2 |
| Failed to obtain and retain hospice Plan of Care for 1 of 1 hospice resident. | Level 2 |
| Failed to develop policies and maintain resident records reflecting preferred name, pronoun, gender identity or expression, and sexual orientation for 5 of 5 residents. | Level 1 |
| Failed to obtain appropriate initial Standard Physician Assessment and Placement Determinations for 2 of 5 residents. | Level 2 |
| Lacked designated primary and secondary infection control persons with required infection control training for 2024. | Level 2 |
| Failed to ensure 2 of 2 employees obtained required infection control training concerning control and prevention of infectious diseases. | Level 2 |
Report Facts
Facility grade: D
Number of residents: 5
Licensed capacity: 6
Deficiency count: 13
Resurvey fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Hallmark | Facility Administrator | Named as responsible for ensuring plan of correction implementation and involved in confirming deficiencies. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Apr 12, 2024
Visit Reason
The inspection was conducted as a complaint survey triggered by complaint #NV00070159 alleging staff did not have elder abuse prevention training.
Findings
The facility was found to have one substantiated complaint regarding failure to ensure timely annual elder abuse prevention training for 1 of 3 employees. Other allegations related to staff training and background checks were not substantiated.
Complaint Details
Complaint #NV00070159 alleging staff did not have elder abuse prevention training was substantiated. Other allegations about lack of training in facility policy, medication management, and background checks were not substantiated due to lack of evidence.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure employees completed timely annual elder abuse prevention training for 1 of 3 employees (Employee #1). | Level D |
Report Facts
Number of beds: 6
Census: 6
Employees reviewed: 3
Severity level: 2
Scope: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Caregiver | Named in deficiency for failure to complete timely annual elder abuse prevention training |
| Jonathan Sapico | Owner/Director | Interviewed during investigation and confirmed training deficiency |
Inspection Report
Re-Inspection
Census: 4
Capacity: 6
Deficiencies: 13
Dec 28, 2023
Visit Reason
This document is a Statement of Deficiencies generated as a result of a mandatory regrading State Licensure survey conducted on 12/28/2023 for a Residential Facility for Groups licensed for elderly or disabled persons.
Findings
The facility received a grade of A. Several regulatory deficiencies were identified, including caregiver qualifications, elder abuse training, personnel file requirements, health and sanitation, activities for residents, residents' rights, medication administration and storage, maintenance of resident files, cultural competency training, and infection control training. One specific deficiency involved unsecured medication (Sarna lotion) found in a resident's room, which was a repeat deficiency from a prior survey.
Severity Breakdown
F: 3
E: 4
D: 4
C: 1
Deficiencies (13)
| Description | Severity |
|---|---|
| Qualifications of Caregivers-Age-Eng-Training not fully met as per NAC 449.196 | D |
| Elder Abuse Training requirements not fully met as per NRS 449.093 | E |
| Personnel File - TB Screening requirements not met as per NAC 449.200 | D |
| Health & Sanitation - Facility premises not well maintained as per NAC 449.209 | F |
| Activities for Residents - Calendar of activities not properly posted or maintained as per NAC 449.260 | C |
| Rights of Residents; Procedure for Filing grievances not fully ensured as per NAC 449.268 | D |
| Medication Administration - Accuracy & Report requirements not fully met as per NAC 449.2742 | E |
| Medication Administration responsibilities not fully met as per NRS 449.0302 and NAC 449.2742 | D |
| Medication Storage not secured properly; unsecured lotion found in resident's room, repeat deficiency | F |
| Maintenance and Contents of Separate File for each resident not fully compliant as per NAC 449.2749 | E |
| Maintenance and Contents of Separate File for each resident not fully compliant as per NAC 449.2749 | D |
| Cultural Competency Training requirements not fully met as per R016-20 Section 14.1 | E |
| Infection Control Required Training not fully met | F |
Report Facts
Licensed beds: 6
Resident census: 4
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 13
Oct 18, 2023
Visit Reason
This inspection was an annual and bed increase State Licensure survey conducted to assess compliance with NAC 449 for Residential Facility for Groups and to approve an additional bed.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to ensure annual caregiver training, elder abuse training, TB screening, medication administration reviews, medication storage, resident privacy, activities calendar posting, and infection control training. The facility also failed to maintain the exterior premises and had issues with documentation and assessments.
Severity Breakdown
Level 1: 1
Level 2: 12
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 4 employees completed at least eight hours of annual Caregiver training. | Level 2 |
| Failed to ensure 2 of 4 employees received timely annual elder abuse training. | Level 2 |
| Failed to ensure employee met tuberculosis (TB) testing requirements; TB test not read in time and missing for 2023. | Level 2 |
| Failed to maintain exterior premises; debris and fire hazards observed. | Level 2 |
| Failed to post an activities calendar for residents. | Level 1 |
| Failed to ensure resident privacy and dignity for 1 resident; catheter bag lacked privacy cover. | Level 2 |
| Failed to ensure medication profile review was performed at least every six months for 2 residents. | Level 2 |
| Failed to ensure an ultimate user agreement was completed for 1 resident regarding medication administration. | Level 2 |
| Failed to ensure resident medications were kept secured; unsecured Pepto Bismol found in resident's room. | Level 2 |
| Failed to ensure 2 residents met tuberculosis (TB) testing requirements; missing annual TB tests for 2022 and 2023. | Level 2 |
| Failed to complete annual Activities of Daily Living (ADL) assessment for 1 resident. | Level 2 |
| Failed to ensure cultural competency training was completed timely for 1 of 4 employees required to obtain it. | Level 2 |
| Primary and secondary infection control persons lacked required infection control training. | Level 2 |
Report Facts
Residents present: 5
Licensed capacity: 5
Employees reviewed: 4
Resident files reviewed: 5
Grade: D
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Hallmark | Facility Administrator | Named as Facility Administrator and responsible for plan of correction |
| Employee #1 | Administrator | Failed annual caregiver training, elder abuse training, TB screening, cultural competency training, infection control training |
| Employee #2 | Owner | Failed timely elder abuse training and infection control training |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 5
Deficiencies: 0
Jun 15, 2023
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated at the facility on 06/15/23 regarding allegations of resident elopement and failure to report to law enforcement or ombudsman within 24 hours.
Findings
No regulatory deficiencies were identified during the investigation. The allegations were not substantiated and no further action was necessary.
Complaint Details
Complaint #NV00061053 included allegations that a resident eloped from the facility and that the facility did not report to law enforcement or ombudsman within 24 hours. Both allegations were not substantiated.
Report Facts
Sample size: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 6
Feb 15, 2023
Visit Reason
This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health to assess compliance with regulations for a Residential Facility for Groups.
Findings
The facility received a grade of B with several deficiencies identified, including failure to ensure annual caregiver training, improper medication review and storage, failure to submit waivers for residents receiving skilled nursing care, maintenance issues with a bathroom sink, and lack of a posted nondiscrimination statement.
Severity Breakdown
2: 5
1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure 4 of 4 employees obtained the required eight hours of annual caregiver training in 2022. | 2 |
| Facility failed to ensure the hallway bathroom sink functioned properly; sink was clogged and not draining. | 2 |
| Facility failed to ensure a resident receiving skilled nursing services was not allowed to remain without submitting required waivers to the State Agency. | 2 |
| Facility failed to ensure a resident admitted for six months or greater had a review of medications for accuracy and appropriateness every six months. | 2 |
| Facility failed to ensure a prescribed medication was stored and labeled properly in its original container with the resident's and physician's name on the medication bottle. | 2 |
| Facility failed to post a current nondiscrimination statement prominently in the facility. | 1 |
Report Facts
Licensed beds: 5
Residents present: 3
Employees reviewed: 4
Resident files reviewed: 3
Deficiency severity 2 count: 5
Deficiency severity 1 count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Sapico | Director | Named as the Director who confirmed findings and corrective actions |
Inspection Report
Re-Inspection
Census: 5
Capacity: 5
Deficiencies: 7
Jul 7, 2022
Visit Reason
This inspection was a mandatory re-grading State Licensure survey conducted at the facility to assess compliance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. Deficiencies were identified related to caregiver qualifications, personnel files including TB screening, first aid and CPR training, medical care of residents after illness, medication administration accuracy, and maintenance of resident files. Specific deficiencies included failure to ensure annual TB testing for residents and incomplete annual assessments.
Severity Breakdown
F: 4
D: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Qualifications of Caregiver - Med Training not met as per NAC 449.196 | F |
| Personnel File - TB Screening incomplete as per NAC 449.200 | F |
| First Aid & CPR training not completed within required timeframe as per NAC 449.231 | F |
| Medical Care of Resident After Illness - annual physical examination requirements not met as per NAC 449.274 | D |
| Medication Administration - Accuracy & Report deficiencies as per NAC 449.2742 | F |
| Maintenance and Contents of Separate File for each resident not compliant with NAC 449.2749 | D |
| Annual Assessment of History of Each Resident not completed timely | D |
Report Facts
Census: 5
Total Capacity: 5
Residents' files reviewed: 5
Employee files reviewed: 3
Severity 2 Deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Agnes Hallmark | Administrator | Signed the inspection report and responsible for plan of correction implementation |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 3
Jun 17, 2021
Visit Reason
The inspection was an annual State Licensure survey conducted to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility was found to have no residents present at the time of inspection and lacked employee files onsite. Deficiencies were identified related to missing employee documentation, failure to provide required employee files and training records, and failure to meet tuberculosis testing and physical exam requirements for employees.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure 2 of 2 employees had employee file documentation present at the facility. | Severity: 2 |
| Failed to ensure 2 of 2 sampled employees completed training to recognize and prevent the abuse of older persons within the required timeframe. | Severity: 2 |
| Failed to ensure employees met tuberculosis (TB) testing requirements and had physical exams completed for 2 of 2 sampled employees. | Severity: 2 |
Report Facts
Licensed capacity: 5
Census: 0
Deficiencies cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Sapico | Director | Named as the Director who failed to provide required employee documentation and training records |
| Employee #1 | Administrator | Lacked employee file documentation, elder abuse training for 2020 and 2021, TB test for 2020 and 2021, and physical examination |
| Employee #2 | Director/Caregiver | Lacked employee file documentation, elder abuse training for 2020 and 2021, TB test for 2020 and 2021, and physical examination |
Inspection Report
Complaint Investigation
Census: 5
Deficiencies: 0
Jul 18, 2016
Visit Reason
The inspection was conducted as a result of a complaint investigation regarding an allegation that a resident was not given medication according to physician's orders.
Findings
The complaint was investigated through observations, interviews, and record reviews. The allegation was not substantiated and no regulatory deficiencies were identified. No further action was necessary.
Complaint Details
Complaint #NV00045905 alleged that a resident was not given medication according to physician's orders; this allegation was not substantiated.
Report Facts
Complaint count: 1
Sample size: 5
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Oct 8, 2015
Visit Reason
The inspection was conducted as an annual State Licensure survey by the Division of Public and Behavioral Health to assess compliance with state regulations for the residential facility.
Findings
The facility received a grade of A but had deficiencies including failure to ensure dryer lint filters were free of lint and failure to ensure tuberculosis testing requirements were met for 2 of 5 residents.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure the dryer lint filters were free of lint, with a thick layer of lint observed on the dryer vent filter and inside the vent housing. | 2 |
| Facility failed to ensure 2 of 5 residents met tuberculosis testing requirements, with TB tests being more than 3 to 4 months late. | 2 |
Report Facts
Resident files reviewed: 5
Employee files reviewed: 4
Severity Scope for lint filter deficiency: 3
Severity Scope for TB testing deficiency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 acknowledged observations and findings related to dryer lint filter and tuberculosis testing deficiencies |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 3
Oct 20, 2014
Visit Reason
This document is a Statement of Deficiencies generated as a result of an annual State Licensure survey conducted at the facility on 10/20/2014 by the Division of Public and Behavioral Health.
Findings
The facility received a grade of A. Deficiencies were identified related to elder abuse training, tuberculosis screening, and background check requirements for employees. Specifically, one employee lacked initial elder abuse training and tuberculosis screening documentation, and two employees lacked required background check clearances.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Administrator failed to ensure 1 of 3 employees received initial training in recognition, prevention, and response to elder abuse. | Severity: 2 |
| Facility failed to ensure one of three employees met tuberculosis screening requirements; lacked documented evidence of pre-employment physical and two-step TB test. | Severity: 2 |
| Facility failed to ensure two of three employees met background check requirements; lacked state and FBI clearance letters. | Severity: 2 |
Report Facts
Number of residents present: 5
Total licensed capacity: 5
Number of employee files reviewed: 3
Number of resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Acknowledged missing elder abuse training documentation and background check clearance letters | |
| Employee #3 | Lacked initial elder abuse training, tuberculosis screening documentation, and background check clearance letters |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 3
Oct 20, 2014
Visit Reason
This document is a State Licensure survey conducted as an annual inspection of a residential facility for elderly and disabled persons on 10/20/14.
Findings
The facility received a grade of A but had deficiencies related to elder abuse training, tuberculosis screening, and background checks for employees. The administrator failed to ensure required training and documentation for some employees.
Severity Breakdown
Severity: 2: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 3 employees received initial training in recognition, prevention, and response to elder abuse. | Severity: 2 |
| Failure to ensure one of three employees met tuberculosis screening requirements. | Severity: 2 |
| Failure to ensure two employees met background check requirements including FBI clearance letters. | Severity: 2 |
Report Facts
Number of residents present: 5
Total licensed capacity: 5
Number of employees reviewed: 3
Number of resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Named in deficiencies for lack of elder abuse training, TB screening, and background check documentation | |
| Employee #1 | Named in deficiencies for acknowledging missing documentation and lack of background check |
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 2
Oct 8, 2014
Visit Reason
The inspection was conducted as an annual State Licensure survey for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to laundry equipment maintenance and resident tuberculosis (TB) testing compliance.
Severity Breakdown
Severity: 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Laundry room dryer lint filters were not free of lint, indicating failure to maintain equipment properly. | Severity: 2 |
| Facility failed to ensure 2 of 5 residents met tuberculosis testing requirements, with TB tests conducted late. | Severity: 2 |
Report Facts
Residents present: 5
Total licensed capacity: 5
Severity 2 deficiencies: 2
Scope: 3
Scope: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 1
Oct 30, 2013
Visit Reason
The inspection was conducted as a State Licensure annual grading survey on 10/20/13 to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. Deficiencies were identified related to health and sanitation, including unclean premises and maintenance issues such as shower tiles coming off, brush accumulation blocking the garage door, a bird's nest in the backyard, personal hygiene items stored improperly, and peeling exterior walls.
Severity Breakdown
Severity 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure the premises were clean and well maintained, including shower tiles coming off and needing replacement, brush blocking garage door, bird's nest in backyard, toilet brush stored under sink with personal hygiene products, and peeling exterior wall needing repainting. | Severity 2 |
Report Facts
Census: 3
Total Capacity: 5
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Feliciana Chalom | Administrator | Signed the plan of correction |
| Jack Smith | Owner/Director | Signed the plan of correction |
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 5
Oct 30, 2013
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility on 10/30/2013 by the authority of NRS 449.0307.
Findings
The facility received a grade of A but was found deficient in maintaining the premises clean and well maintained, including issues with shower tiles, brush accumulation blocking the garage door, a bird's nest on the rooftop, improper storage of a toilet brush near resident hygiene products, and peeling exterior paint.
Severity Breakdown
2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Shower tiles in the lower half of the common resident shower were coming off and needed to be replaced and regrouted. | 2 |
| A large accumulation of brush was observed blocking the garage door. | 2 |
| A bird's nest was observed in between the rooftop of the house and the sunport in the backyard. | 2 |
| A toilet brush was observed under the sink of the master bathroom next to resident's personal hygiene products including brushes, hair clips, and combs. | 2 |
| The exterior wall of the home which faces the backyard was peeling and needed to be repainted. | 2 |
Report Facts
Licensed capacity: 5
Census: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 1
Nov 27, 2012
Visit Reason
This visit was conducted as an annual State Licensure survey to assess compliance with state regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A but was found deficient in providing nutritious meals and snacks at appropriate times for residents. Specifically, the facility failed to provide meals and snacks between meals for all 5 residents observed.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to provide nutritious meals and snacks between meals for 5 of 5 residents; meals were served at inappropriate times and staff did not follow the posted menu. | Severity: 2 |
Report Facts
Residents present at time of survey: 5
Licensed capacity: 5
Severity level: 2
Scope: 3
Inspection Report
Annual Inspection
Census: 5
Capacity: 5
Deficiencies: 1
Nov 27, 2012
Visit Reason
This document is a result of an annual State Licensure survey conducted at the facility on 11/27/2012 to assess compliance with state regulations for residential facilities for elderly and disabled persons.
Findings
The facility received a grade of A but was found deficient in providing nutritious meals and snacks between meals for all 5 residents. Specifically, lunch was served early with inadequate food portions not following the posted menu.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to provide nutritious meals and snacks between meals for 5 of 5 residents; lunch served at 10:30 am included leftover chow mein, half a hot dog bun, and a slice of pineapple, not following the posted menu. | 2 |
Report Facts
Licensed beds: 5
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 stated the reason for not following the posted menu |
Inspection Report
Annual Inspection
Census: 3
Capacity: 5
Deficiencies: 0
Nov 29, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted at the facility on 11/29/2011 to assess compliance with state regulations for residential facilities.
Findings
No regulatory deficiencies were identified during the inspection. The facility received a grade of A and no further action was necessary.
Report Facts
Resident files reviewed: 3
Employee files reviewed: 4
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