Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Follow-Up
Deficiencies: 3
Nov 20, 2025
Visit Reason
The inspection was conducted as a health care licensure and follow-up survey to assess compliance with infection control standards and administrative requirements related to incident reporting and corrective actions.
Findings
The facility was found to have deficiencies including failure of medication technicians to perform hand hygiene between residents during medication passes, lack of timely corrective actions to prevent resident falls, and failure to notify the licensing agency within one business day of reportable incidents involving resident falls and injuries.
Deficiencies (3)
| Description |
|---|
| Medication technician administered medications without conducting hand hygiene between residents during medication pass. |
| Administrator did not immediately implement corrective actions to prevent repeated resident falls. |
| Facility failed to notify licensing agency within one business day of reportable incidents involving resident falls and injuries. |
Report Facts
Resident falls: 13
Resident falls: 6
Resident falls: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Young | Administrator | Named in findings related to failure to implement corrective actions and failure to report incidents |
| Wendy Cerovski | Survey Team Leader | Led the health care licensure and follow-up survey |
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