The most recent inspection on April 3, 2025, involved a complaint investigation and found no deficiencies. Prior inspections, including one on June 26, 2024, cited several deficiencies related to medication management policies, tuberculosis screening, food service policies, and resident service plans and activities. No enforcement actions, fines, or license suspensions were listed in the available reports. The complaint investigation in April 2025 was unsubstantiated. This suggests some improvement following earlier cited issues.
Deficiencies (last 2 years)
Deficiencies (over 2 years)2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Investigation of Complaint #116719-C and Incident #126179-I at the facility.
Findings
No deficiencies were cited during the investigation of the complaint and incident.
Complaint Details
Investigation of Complaint #116719-C and Incident #126179-I resulted in no deficiencies cited.
Inspection Report Plan of CorrectionCensus: 19Deficiencies: 5Jun 26, 2024
Visit Reason
The document is a plan of correction submitted in response to deficiencies cited during an initial survey conducted on 6/26/2024 to determine compliance with licensing rules for a Residential Care Facility (RCF).
Findings
The survey identified multiple deficiencies including issues with medication management policies, baseline tuberculosis screening, food service policies, service plans lacking measurable goals and objectives, and resident activity goals. The facility failed to comply with several regulatory requirements related to medication administration, tuberculosis testing, food handling training, service planning, and resident activities.
Deficiencies (5)
Description
Medication management policy was not specific to a Residential Care Facility and failed to meet regulatory requirements.
Facility failed to comply with baseline tuberculosis screening requirements for residents.
Food service policy was not appropriate for a Residential Care Facility and staff lacked orientation on safe food handling.
Service plans for residents failed to include measurable goals and objectives.
Resident activity program failed to ensure residents had individual activity goals.
Report Facts
Census: 19Residents reviewed for TB screening: 4Residents reviewed for service plans: 4Residents reviewed for activity goals: 4Meals received daily: 2Additional meals option: 1
Employees Mentioned
Name
Title
Context
Ben Eddy
Campus Administrator
Named as contact for plan of correction and signed the document
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