Inspection Report Summary
The most recent inspection on August 7, 2025, found no deficiencies. Earlier inspections showed a pattern of issues related primarily to retaining only ambulatory residents capable of self-preservation and timely reporting of serious injuries to the Department. Some complaints were substantiated, including failure to respond appropriately to a resident’s fall and delays in reporting injuries, but fines or enforcement actions were not listed in the available reports. Most complaint investigations were unsubstantiated or found no violations. The facility’s record appears to have improved over time, with the latest inspection showing compliance after prior citations.
Deficiencies (last 7 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
RenewalInspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #2's condition and ability to self-preserve. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding private sitter requirements and reporting of incident | |
| Staff B | Witnessed private sitter slap resident #1 on the jaw |
Inspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
MonitoringInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed and stated unawareness of CPR and First Aid certification not being current and that physical exam reports were not on Department approved form | |
| Staff B | Staff member lacking current CPR and First Aid certification |
Inspection Report
Inspection Report
Complaint InvestigationInspection Report
Routine| Name | Title | Context |
|---|---|---|
| Staff B | Named in CPR certification deficiency | |
| Staff C | Named in proxy caregiver training and competency checklist deficiency | |
| Staff A | Interviewed regarding multiple deficiencies including CPR certification, resident self-preservation, and incident report submissions | |
| Staff D | Interviewed regarding medication administration and MAR deficiencies |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Staff A and Staff B interviewed regarding resident care and assessment after fall; no full names provided. |
Inspection Report
Follow-Up| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Resident #1's health decline and waiver application. |
Inspection Report
Complaint InvestigationInspection Report
Annual InspectionLoading inspection reports...



