Deficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Nov 1, 2025
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State-compiled enforcement action report for PREMIUM COMFORT CARE detailing enforcement action #00144204 with payment and completion status.
Findings
The report documents an enforcement action completed with a penalty payment of $1,500.00 and no additional inspection or deficiency details provided.
Report Facts
Total fines: 1500
Inspection Report
Enforcement
Deficiencies: 3
Sep 2, 2025
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The inspection was conducted to address regulatory violations at Premium Comfort Care, resulting in enforcement actions and civil fines.
Findings
The facility was found deficient in maintaining personnel records, improperly restraining a resident, and inaccurately documenting medication administration, posing health and safety risks and violating residents' rights.
Deficiencies (3)
| Description |
|---|
| The manager failed to ensure a personnel record was established and maintained for each employee as required. |
| The manager failed to ensure that a resident was not subjected to restraints for one of seven residents sampled. |
| The manager failed to ensure a resident’s medical record included an accurate name and signature of the individual administering medication for two of two residents sampled. |
Report Facts
Civil fines total: 1500
Residents sampled for restraint issue: 7
Residents sampled for medication documentation: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Roni Polus | Licensee/Director/Provider | Signed enforcement agreement and acknowledged rights |
| Dawn Butler | Bureau Chief (BC) | Attendee on enforcement agreement form |
| Thomas Salow | Assistant Director (AD) | Attendee on enforcement agreement form |
| Aaron Telles | Deputy Bureau Chief (DBC) | Attendee on enforcement agreement form |
| Laura Redpath | Compliance Officer Supervisor (COS) | Attendee on enforcement agreement form |
Inspection Report
Annual Inspection
Capacity: 8
Deficiencies: 9
Sep 2, 2025
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State-compiled facility profile showing 3 inspections from 2023-11 to 2025-09 with deficiency history
Findings
Across three inspections, the facility showed multiple deficiencies primarily in tuberculosis screening, personnel records, resident rights including restraint use and privacy, medication administration, food storage, and environmental safety. Two earlier inspections found no deficiencies, while the most recent annual compliance inspection identified nine deficiencies.
Deficiencies (9)
| Description |
|---|
| R9-10-113.A.2.a-f. Tuberculosis Screening: Failed to implement tuberculosis infection control activities including annual training and education for personnel. |
| R9-10-803.A.8. Administration: Failed to ensure a caregiver able to read, write, understand, and communicate in English was on premises. |
| R9-10-806.A.8.a-b. Personnel: Failed to ensure employees provided documentation of freedom from infectious tuberculosis for three personnel sampled. |
| R9-10-806.C.1.a-c. Personnel: Failed to maintain complete personnel records for employees, including verification of qualifications and certifications. |
| R9-10-810.B.2.i. Resident Rights: Failed to ensure a resident was not subjected to restraints; bedrails were used improperly. |
| R9-10-810.C.3.a-c. Resident Rights: Failed to ensure resident privacy; unauthorized camera monitoring of resident rooms was observed. |
| R9-10-811.C.13.c. Medical Records: Failed to ensure accurate documentation of medication administration including name and signature of administering individual. |
| R9-10-818.C.4.a. Food Services: Failed to ensure potentially hazardous food requiring refrigeration was maintained at 41°F or below. |
| R9-10-820.A.11. Environmental Standards: Failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents. |
Report Facts
Inspections on page: 3
Total deficiencies: 9
Complaint inspections: 0
Total capacity: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Facility Manager | Named as person responsible for all deficiencies |
| E3 | Caregiver / Manager Designee | Named in deficiencies related to English proficiency, personnel records, and medication administration |
| E1 | Named in deficiencies related to personnel records, medication administration, and privacy issues |
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