Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Capacity: 172
Deficiencies: 1
Dec 16, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A became severely dehydrated on 10/10/2024, was hospitalized for one week, and subsequently lost the ability to walk, experiencing rapid cognitive decline.
Findings
The investigation found insufficient evidence to support the claim that Resident A lacked care or was dehydrated. However, it was substantiated that the facility failed to provide a written notice of cancellation as required when Resident A was unable to return to the facility after hospitalization.
Complaint Details
The complaint alleged Resident A lacked care and was dehydrated, which was not substantiated. The complaint that Resident A was unable to return to the facility was substantiated due to failure to follow notification policies.
Deficiencies (1)
| Description |
|---|
| Failure to provide written notice of cancellation when Resident A was unable to return to the facility after hospitalization. |
Report Facts
Capacity: 172
Complaint Receipt Date: Dec 4, 2024
Investigation Initiation Date: Dec 4, 2024
Report Date: Dec 16, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Taylor Darby | Administrator | Administrator involved in decision regarding Resident A's discharge and notification |
| Jessica Rogers | Licensing Staff | Conducted the investigation and authored the report |
Inspection Report
Renewal
Census: 65
Capacity: 172
Deficiencies: 0
Nov 20, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for license renewal of the facility.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 13
Number of residents interviewed and/or observed: 65
Number of others interviewed: 3
Capacity: 172
Inspection Report
Renewal
Deficiencies: 0
Aug 14, 2023
Visit Reason
The document serves as a renewal notification for the facility's license following an administrative review of licensing activity over the past year.
Findings
The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License effective period: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 172
Deficiencies: 0
Feb 14, 2018
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Rose Senior Living at Providence Park.
Findings
The study determined substantial compliance with licensing statutes and administrative rules, resulting in the recommendation to issue a temporary license with a maximum capacity of 172 beds.
Report Facts
Licensed bed capacity: 172
Alzheimer’s/dementia beds: 45
Licensed beds on second floor: 63
Licensed beds on third floor: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Denniston | Licensing Staff | Author of the licensing study report and recommendation. |
| Russell B. Misiak | Area Manager | Approved the licensing study report and recommendation. |
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