Inspection Report Summary
The most recent inspection on December 10, 2025, found no deficiencies and confirmed the facility was in compliance with all regulations. Prior to that, the November 18, 2025, re-licensure survey identified multiple deficiencies related mainly to negotiated service agreements, medication management, and employee licensure documentation. Complaint investigations conducted during that survey were part of the inspection, but enforcement actions such as fines or license suspensions were not listed in the available reports. Earlier inspections noted issues with documentation, food storage, tuberculosis screening, and medication aide certification, but follow-up surveys consistently found these deficiencies corrected. The overall trend shows the facility addressing prior issues successfully, with the most recent inspection demonstrating compliance.
Deficiencies (last 9 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a November 2025 inspection.
Census over time
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Renewal| Name | Title | Context |
|---|---|---|
| Executive Director A | Executive Director | Named in relation to failure to ensure proper medication administration and licensure verification. |
| Administrative Nurse B | Administrative Nurse | Interviewed regarding deficiencies related to negotiated service agreements, medication assessments, and medication administration. |
| Certified Medication Aide E | Certified Medication Aide | Named for administering medications with a lapsed certification. |
| Licensed Nurse C | Licensed Nurse | Named for lack of licensure verification upon hire. |
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Follow-UpInspection Report
Re-Inspection| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Licensed Nurse | Confirmed bed rail use and lack of bed rail assessments for Residents 115 and 116 |
| Administrative Staff A | Administrative Staff | Confirmed lack of registry check dates for certified medication aides C, D, E, and F |
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Plan of CorrectionInspection Report
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RoutineInspection Report
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RenewalLoading inspection reports...



