Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 176
Capacity: 211
Deficiencies: 0
Sep 29, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents served: 176
License capacity: 211
Secured Dementia Care Unit capacity: 35
Secured Dementia Care Unit residents served: 34
Hospice current residents: 24
Residents age 60 or older: 175
Residents with mobility need: 67
Residents with physical disability: 1
Inspection Report
Census: 179
Capacity: 211
Deficiencies: 0
Sep 11, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 179
License Capacity: 211
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 32
Hospice Current Residents: 22
Residents Age 60 or Older: 178
Residents with Mobility Need: 65
Resident Support Staff: 0
Total Daily Staff: 244
Waking Staff: 183
Inspection Report
Complaint Investigation
Census: 172
Capacity: 211
Deficiencies: 0
Jun 12, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Residents Served: 172
License Capacity: 211
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 30
Hospice Current Residents: 19
Residents Age 60 or Older: 171
Residents with Mobility Need: 64
Total Daily Staff: 236
Waking Staff: 177
Notice
Deficiencies: 0
May 30, 2025
Visit Reason
The document serves to notify the facility that their request to waive the educational qualification requirement for a direct care staff person has been granted under Pennsylvania Code 2600.54(a)(2).
Findings
The waiver is granted with conditions that the staff member's education is equivalent to a U.S. high school diploma, documentation is maintained in personnel files, and compliance will be reviewed annually during inspections.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report
Renewal
Census: 161
Capacity: 211
Deficiencies: 17
Apr 16, 2025
Visit Reason
The inspection visit was conducted as part of licensing inspections on April 16-18, 2025, May 2, 2025, and July 24, 2025, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes and to issue a regular license.
Findings
The facility was found to be in compliance with applicable regulations after multiple inspections and corrections. Several deficiencies were identified related to contract signatures, staff qualifications, resident equipment safety, cleanliness, medication storage and administration, medical evaluations, resident treatment, and documentation, all of which had directed plans of correction with completion dates and follow-up monitoring.
Deficiencies (17)
| Description |
|---|
| Resident-home contracts for residents #1, #2, and #3 were not signed by the residents. |
| No documentation that direct care staff person A has a high school diploma, GED, or active registry status. |
| Halo bedside mobility device next to resident #6's bed was uncovered with an opening posing an entrapment hazard. |
| Left door of double glass exit doors from indoor pool area would not securely close and latch. |
| No thermometer present in the silver chest freezer in the main kitchen. |
| Resident #2's medical evaluation did not specify which foods should be served soft or regular. |
| Resident #4's previous medical evaluation was outdated beyond annual requirement. |
| Resident #3's medical evaluation included only code numbers for diagnoses without descriptions. |
| First aid kit in home's Ford Flex van lacked thermometer and breathing shield. |
| Resident #8's blood glucose reading was inaccurately documented on medication administration record (MAR). |
| Resident #8's prescribed insulin frequency was incorrectly documented as 'as needed' instead of twice daily. |
| Resident #8's blood glucose was only checked once daily instead of twice daily as prescribed; multiple missed insulin doses noted. |
| Record of training for direct care staff person B's 2024 annual practicum lacked trainer's name/signature and completion date. |
| Resident #2's assessment did not include diagnosis of Anxiety noted in medical evaluation. |
| Direct care staff person A and B had a loud verbal altercation in front of residents #1 and #2 during medication administration. |
| Medication Bisacodyl suppository for resident #3 was not present in the home for administration. |
| Medication administration times for resident #1's evening medications were documented incorrectly as 8:00pm instead of actual time 10:27pm. |
Report Facts
License Capacity: 211
Residents Served: 161
Secure Dementia Care Unit Capacity: 35
Residents Served in Secure Dementia Care Unit: 31
Total Daily Staff: 219
Waking Staff: 164
Deficiencies Cited: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed licensing letter and certificate. |
Inspection Report
Renewal
Census: 161
Capacity: 211
Deficiencies: 14
Apr 16, 2025
Visit Reason
The inspection was conducted as part of licensing inspections on April 16-18, May 2, and July 24, 2025, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes and to issue a regular license.
Findings
The facility was found to be in compliance with regulations after multiple inspections and corrections. Several deficiencies were identified including unsigned resident contracts, missing documentation for direct care staff qualifications, equipment hazards, incomplete medical evaluations, medication administration errors, and resident dignity concerns, all of which had directed plans of correction.
Deficiencies (14)
| Description |
|---|
| Resident-home contracts for residents #1, #2, and #3 were not signed by the residents. |
| No documentation present indicating direct care staff person A has required qualifications. |
| Halo bedside mobility device posed an entrapment hazard due to an uncovered opening. |
| Left door of double glass exit doors would not securely close and latch without significant force. |
| No thermometer present in the silver chest freezer in the main kitchen. |
| Resident #2's medical evaluation did not specify which foods should be served soft or regular. |
| Resident #4's previous medical evaluation was outdated beyond annual requirement. |
| Resident #3's medical evaluation included only diagnosis codes without written diagnoses. |
| First aid kit in the home's Ford Flex van lacked a thermometer and breathing shield. |
| Resident #8's blood glucose reading was inaccurately documented on the medication administration record. |
| Resident #8's medication order frequency was incorrectly recorded as 'as needed' instead of twice daily. |
| Resident #8's prescribed insulin doses were not administered as ordered on multiple dates. |
| Record of training for direct care staff person B's 2024 annual practicum lacked trainer's name/signature and completion date. |
| Resident #2's assessment did not include diagnosis of Anxiety as indicated in medical evaluation. |
Report Facts
License Capacity: 211
Residents Served: 161
Secured Dementia Care Unit Capacity: 35
Residents Served in Dementia Unit: 31
Hospice Residents: 17
Residents 60 Years or Older: 160
Residents with Mobility Need: 58
Total Daily Staff: 219
Waking Staff: 164
Inspection Report
Complaint Investigation
Census: 150
Capacity: 211
Deficiencies: 0
Jan 23, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by complaint, provisional, incident, and fine reasons.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
Report Facts
Residents Served: 150
License Capacity: 211
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 31
Hospice Current Residents: 15
Residents Age 60 or Older: 149
Residents with Mobility Need: 48
Residents Diagnosed with Intellectual Disability: 1
Inspection Report
Follow-Up
Census: 155
Capacity: 211
Deficiencies: 2
Dec 26, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was found to be fully implemented as of the inspection date. Deficiencies related to treatment of residents with dignity and respect and timely completion of initial resident assessments were addressed with corrective actions including staff suspension, education, audits, and documentation.
Deficiencies (2)
| Description |
|---|
| Direct care staff person argued disrespectfully with a resident during toileting assistance, causing the resident to feel upset and fearful. |
| Resident initial assessment was not completed within 15 days of admission as required. |
Report Facts
Residents served: 155
License capacity: 211
Secured Dementia Care Unit capacity: 35
Secured Dementia Care Unit residents served: 32
Hospice current residents: 13
Residents aged 60 or older: 154
Residents diagnosed with mental illness: 5
Residents with mobility need: 48
Residents diagnosed with intellectual disability: 1
Residents diagnosed with physical disability: 0
Inspection Report
Complaint Investigation
Census: 135
Capacity: 211
Deficiencies: 19
Jul 18, 2024
Visit Reason
The inspection was conducted due to complaints and incidents reported at Ridgecrest Personal Care & Memory Care, including allegations of resident abuse and failure to comply with regulations.
Findings
Multiple violations were found including resident abuse, failure to report incidents timely, inadequate supervision leading to resident injury, incomplete assessments, medication administration errors, and safety deficiencies. The facility was issued a provisional license with required corrective actions and ongoing monitoring.
Complaint Details
The complaint investigation revealed incidents of resident abuse by staff, failure to report abuse timely to protective services and the Department, neglect in supervision leading to resident injury, and multiple regulatory noncompliance issues. The facility was found to have repeated violations related to abuse and resident care.
Deficiencies (19)
| Description |
|---|
| Failure to immediately report suspected resident abuse and comply with reporting requirements. |
| Failure to report incidents or conditions to the Department within 24 hours as required. |
| Resident abuse including verbal and physical mistreatment by staff. |
| Failure to complete annual assessments for residents. |
| Failure to post current license inspection summaries in a conspicuous place. |
| Failure to provide assistance with activities of daily living as indicated in resident assessments, resulting in resident fall and injury. |
| Failure to maintain required number of staff trained in first aid and CPR on duty. |
| Failure to maintain privacy signage for video monitoring areas. |
| Failure to label prescription medications with pharmacy labels. |
| Failure to follow prescriber's medication orders, resulting in missed doses due to unavailable medications. |
| Failure to complete preadmission screening within 30 days prior to admission. |
| Failure to have support plan signed by resident, representative, or assessor. |
| Failure to annually assess resident for continuing need for secured dementia care unit. |
| Failure to develop and implement support plan within 72 hours of admission to secured dementia care unit. |
| Failure to post emergency preparedness plan in a conspicuous and public place. |
| Failure to have fire extinguisher with minimum rating in kitchen area. |
| Failure to conduct annual fire safety inspection and fire drill by a fire safety expert. |
| Failure to maintain at least a 3-day supply of nonperishable food and drinking water for residents. |
| Failure to supervise and assist resident with care needs, resulting in resident fall and serious injury. |
Report Facts
License Capacity: 211
Residents Served: 135
Residents Served: 141
Residents Served: 134
Capacity of Secure Dementia Care Unit: 35
Residents Served in Secure Dementia Care Unit: 25
Residents Served in Secure Dementia Care Unit: 24
Residents Served in Secure Dementia Care Unit: 27
Fine Amount: 670
Correction Date: 5
Staffing Hours: 174
Waking Staff: 131
Staffing Hours: 181
Waking Staff: 136
Staffing Hours: 180
Waking Staff: 135
Inspection Report
Complaint Investigation
Census: 135
Capacity: 211
Deficiencies: 20
Jul 18, 2024
Visit Reason
The inspection was conducted due to complaints and incidents reported at Ridgecrest Personal Care & Memory Care, including allegations of resident abuse and failure to comply with regulations.
Findings
Multiple violations were found including resident abuse, failure to report incidents timely, inadequate supervision leading to resident falls, incomplete assessments, medication administration errors, and safety deficiencies such as fire door malfunctions and lack of emergency preparedness. The facility was issued a provisional license and required to submit plans of correction.
Complaint Details
The complaint investigation revealed substantiated findings of resident abuse, neglect, failure to report abuse timely, and inadequate supervision leading to resident injury. Repeat violations were noted from prior inspections.
Deficiencies (20)
| Description |
|---|
| Failure to immediately report suspected resident abuse and comply with reporting requirements. |
| Failure to report incidents or conditions to the Department within 24 hours as required. |
| Resident abuse including verbal and physical mistreatment by staff. |
| Failure to complete annual assessments for residents. |
| Failure to post current license inspection summaries in a conspicuous place. |
| Failure to provide assistance with activities of daily living as indicated in resident assessments, resulting in an unwitnessed fall and delayed treatment. |
| Failure to maintain required number of staff trained in first aid and CPR on duty. |
| Failure to maintain privacy signage for video monitoring areas. |
| Failure to maintain adequate emergency water supply and contract guarantees. |
| Failure to post emergency preparedness plans in a conspicuous place. |
| Lack of fire extinguisher in kitchen area. |
| Failure to conduct annual fire safety inspection and fire drill by a fire safety expert. |
| Presence of flammable cushion in staff smoking area. |
| Prescription medication not labeled with pharmacy label. |
| Failure to follow prescriber's orders due to medication not being available. |
| Failure to complete preadmission screening within 30 days prior to admission. |
| Support plan not signed by resident, representative, or assessor. |
| Annual assessment for continuing need for secured dementia care unit not completed. |
| Support plan for secured dementia care unit not completed within required timeframe. |
| Failure to supervise and assist resident resulting in fall and serious injury. |
Report Facts
License Capacity: 211
Residents Served: 135
Residents Served: 25
Staffing Hours: 174
Waking Staff: 131
Fine Amount: 670
Correction Date: 5
Residents Served: 141
Residents Served: 24
Staffing Hours: 181
Waking Staff: 136
Residents Served: 134
Residents Served: 27
Staffing Hours: 180
Waking Staff: 135
Inspection Report
Complaint Investigation
Census: 135
Capacity: 211
Deficiencies: 20
Jul 18, 2024
Visit Reason
The inspection was conducted due to complaints and incidents reported at Ridgecrest Personal Care & Memory Care, including allegations of resident abuse and failure to comply with regulatory requirements.
Findings
Multiple violations were found including resident abuse, failure to report incidents timely, inadequate supervision leading to resident falls, medication administration errors, incomplete assessments, and safety hazards such as fire door malfunctions and insufficient emergency supplies. The facility was issued a provisional license with required corrective actions and ongoing monitoring.
Complaint Details
The complaint investigation revealed substantiated findings of resident abuse, neglect, failure to report incidents timely, and inadequate supervision leading to resident injury. Repeat violations were noted from prior inspections.
Deficiencies (20)
| Description |
|---|
| Failure to immediately report suspected resident abuse and comply with reporting requirements. |
| Failure to report incidents to the Department within 24 hours as required. |
| Resident abuse including verbal and physical mistreatment by staff. |
| Failure to complete annual resident assessments timely. |
| Failure to post current licensing inspection summaries in a conspicuous place. |
| Failure to provide assistance with activities of daily living as indicated in resident assessments, resulting in resident falls and delayed medical treatment. |
| Failure to maintain required number of staff trained in first aid and CPR on duty. |
| Failure to maintain privacy signage for video monitoring areas. |
| Failure to maintain adequate emergency water supply and contract guarantees. |
| Failure to post emergency preparedness plans in a conspicuous place. |
| Lack of required fire extinguisher in kitchen area. |
| Failure to conduct annual fire safety inspection and fire drill by a fire safety expert. |
| Smoking area contained flammable cushion not marked flame retardant. |
| Prescription medication not labeled with pharmacy label as required. |
| Failure to follow prescriber's medication orders, resulting in missed doses due to unavailable medications. |
| Failure to complete preadmission screening within 30 days prior to admission. |
| Support plan not signed by resident, representative, or assessor. |
| Annual assessment for secured dementia care unit not completed as required. |
| Support plan for secured dementia care unit not developed within 72 hours of admission. |
| Failure to supervise and assist resident with care needs, resulting in fall and serious injury. |
Report Facts
License Capacity: 211
Residents Served: 135
Secure Dementia Care Unit Capacity: 32
Residents Served in Secure Dementia Care Unit: 25
Total Daily Staff: 174
Waking Staff: 131
Fine Amount: 670
Fine Per Resident Per Day: 5
Census at Inspection: 134
Residents Served: 141
Residents Served in Secure Dementia Care Unit: 24
Current Residents in Hospice: 7
Residents Served: 134
Residents Served in Secure Dementia Care Unit: 27
Current Residents in Hospice: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Witnessed and reported incidents of resident abuse; involved in abuse investigation. | |
| Staff Person B | Received abuse report from Staff Person A; involved in abuse investigation and terminated. | |
| Staff Person E | Alleged to have verbally and physically abused residents; terminated. | |
| Staff Person F | Alleged to have verbally and physically abused residents; terminated. | |
| Health Care Director | Conducted resident assessments, education, and monitoring related to abuse and compliance. | |
| Memory Care Director | Interviewed residents, confirmed no signs of abuse, and participated in staff education. | |
| Administrator | Took immediate action on abuse reports, suspended and terminated involved staff. | |
| Maintenance Director | Responsible for fire door adjustments, posting emergency plans, and safety compliance. | |
| Residence Director | Responsible for posting licensing summaries, staff education, and auditing compliance. | |
| Direct Care Staff Person A | Involved in resident fall incident and failure to document and notify staff. | |
| Direct Care Staff Person B | Assessed resident after fall, failed to reassess and delayed medical treatment. |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 211
Deficiencies: 0
Apr 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 04/15/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the follow-up type was noted as not required.
Report Facts
License Capacity: 211
Residents Served: 127
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 23
Current Hospice Residents: 8
Residents Age 60 or Older: 126
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 38
Inspection Report
Complaint Investigation
Census: 123
Capacity: 211
Deficiencies: 3
Mar 28, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 03/28/2024.
Findings
The inspection found violations including direct care staff sleeping during shifts in the secured dementia care unit, incomplete resident assessments, and deficiencies in resident support plans regarding medical and hospice care documentation. Plans of correction were submitted and fully implemented by 04/29/2024.
Complaint Details
The visit was complaint-related, with a follow-up plan of correction submission required. The plan of correction was fully implemented and verified by 04/29/2024.
Deficiencies (3)
| Description |
|---|
| Direct care staff persons were observed sleeping on duty in the secured dementia care unit. |
| Resident assessments were not completed annually as required. |
| Resident support plan did not document use of incontinence supplies, overnight care frequency, or hospice services received. |
Report Facts
License Capacity: 211
Residents Served: 123
Secured Dementia Care Unit Capacity: 35
Residents Served in Secured Dementia Care Unit: 23
Current Hospice Residents: 8
Resident Age 60 or Older: 122
Residents with Mental Illness: 2
Residents with Intellectual Disability: 1
Residents with Mobility Need: 39
Resident Support Staff: 162
Waking Staff: 122
Inspection Report
Complaint Investigation
Census: 125
Capacity: 211
Deficiencies: 4
Nov 29, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation following allegations of physical abuse and other regulatory concerns at the facility.
Findings
The inspection found violations related to failure to immediately report suspected resident abuse to the local Area Agency on Aging and the Department, incomplete resident support plan signatures, and issues with medical evaluations for residents in the secured dementia care unit. Plans of correction were directed and partially implemented.
Complaint Details
The visit was complaint-related due to allegations of physical abuse reported by a resident's family. The allegations were substantiated by findings of failure to report abuse incidents timely to appropriate agencies.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging. |
| Failure to report an incident of physical abuse to the Department within required timeframes. |
| Resident support plan not signed by assessor or resident and lacking indication of resident participation status. |
| Medical evaluation form for a resident in the secured dementia care unit had altered dates and was incomplete. |
Report Facts
License Capacity: 211
Residents Served: 125
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 26
Total Daily Staff: 158
Waking Staff: 119
Residents 60 Years or Older: 124
Residents with Mobility Need: 33
Inspection Report
Complaint Investigation
Census: 109
Capacity: 211
Deficiencies: 0
Jan 5, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection of the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies or substantiated issues were found.
Report Facts
License Capacity: 211
Residents Served: 109
Secured Dementia Care Unit Capacity: 32
Secured Dementia Care Unit Residents Served: 27
Hospice Residents: 3
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 49
Residents 60 Years or Older: 109
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 4, 2022
Visit Reason
The document reports on the Pennsylvania Department of Human Services, Bureau of Human Service Licensing review conducted on 10/04/2022, 10/05/2022, and 10/06/2022 to determine the implementation status of the submitted plan of correction for the facility.
Findings
The submitted plan of correction was found to be fully implemented, and continued compliance must be maintained.
Report Facts
Review dates: 10/04/2022, 10/05/2022, 10/06/2022
Inspection Report
Renewal
Census: 25
Capacity: 211
Deficiencies: 13
Mar 1, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance overall but had multiple deficiencies related to posting of licenses, incident policies, resident contracts, grab bars in restrooms, swimming area policies, emergency preparedness, medical evaluations, medication administration, and resident assessments. Plans of correction were submitted and accepted for all deficiencies.
Deficiencies (13)
| Description |
|---|
| A copy of 55 Pa. Code Chapter 2600 and the Licensing Inspection Summary were not posted in a conspicuous and public place in the home. |
| The home's reportable incidents and conditions policy does not address prevention, notification, or investigation of reportable incidents and conditions. |
| Resident-home contracts did not specify conditions under which the agreement may be terminated as required. |
| No grab bars present in the first stall of the women's restroom and the urinal in the men's restroom across from the salon. |
| Swimming area policies did not require assessment prior to use or detail physical protections to ensure safe use and supervision. |
| The home did not have a copy of the emergency preparedness plan for the local municipality. |
| Medical evaluations for four residents were incomplete or missing required information such as height, weight, cognitive functioning, health status, and documentation of secured dementia care unit placement. |
| Resident #1 self-administers medications with family assistance but has not been assessed by a qualified practitioner regarding ability to self-administer and need for reminders. |
| Discontinued medication Pantoprazole 40mg for resident #2 was found in the medication cart. |
| Prescription label for Gabapentin 100mg for resident #2 indicates a different dosage than ordered. |
| Medication Atorvastatin 20mg ordered for resident #2 does not appear on the Medication Administration Record (MAR). |
| Resident #2 was not administered Atorvastatin 20mg from 2/19/2021 to 3/1/2021 and Famotidine 40mg was not administered on 2/28/2021 or 3/1/2021 due to unavailability. |
| Assessment for resident #1 indicated capability to self-administer medications, but medical evaluation indicated resident cannot self-administer. |
Report Facts
License Capacity: 211
Residents Served: 25
Secure Dementia Care Unit Capacity: 35
Secure Dementia Care Unit Residents Served: 8
Total Daily Staff: 33
Waking Staff: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Buchenauer | Deputy Secretary | Signed licensing letter and correspondence. |
| Resident Services Director | Named in multiple findings related to medical evaluations, medication administration, and audits. | |
| Executive Director | Named in multiple findings and plans of correction related to compliance and policy reviews. | |
| Maintenance Director | Responsible for installation of grab bars and emergency preparedness plan review. | |
| Divisional Director of Care Management | Responsible for retraining Resident Services Director on various regulatory requirements. |
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