Inspection Report
Complaint Investigation
Capacity: 112
Deficiencies: 8
May 20, 2025
Visit Reason
State-compiled facility profile showing 17 inspections from 2023-07 to 2025-05 with deficiency history
Findings
Across 17 inspections, including 15 complaint investigations and annual compliance surveys, no deficiencies were cited in complaint inspections. Two inspections in August 2023 cited a total of 8 deficiencies related to safe environment, medication supervision, food safety, and life safety code violations.
Complaint Details
The page includes 15 complaint investigations conducted between November 2023 and May 2025, all with no deficiencies cited.
Deficiencies (8)
| Description |
|---|
| §483.10(i) Safe Environment. The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The facility failed to address water leaks and ceiling damage posing safety risks. |
| §483.25(d) Accidents. The facility failed to ensure one resident received adequate supervision to prevent medication accidents, including leaving medications unattended. |
| §483.60(i) Food safety requirements. The facility failed to ensure a safe and sanitary kitchen environment regarding a dry storage scoop left in oatmeal and improper drying of metal pans. |
| R9-10-414.B. An administrator shall ensure that a care plan for a resident assists the resident in maintaining the highest practicable well-being. The facility failed to ensure adequate supervision to prevent medication accidents for one resident. |
| R9-10-423.A. An administrator shall ensure proper food storage and handling when contracting with food establishments. The facility failed to maintain sanitary conditions in dry storage and drying practices. |
| R9-10-425.A. An administrator shall ensure premises and equipment are free from conditions causing physical injury. The facility failed to ensure adequate supervision to prevent medication accidents for one resident. |
| Fire Alarm System - Initiation. The facility failed to keep the fire alarm pull station accessible and unobstructed, delaying emergency response. |
| Portable Fire Extinguishers. The facility failed to keep an ABC fire extinguisher accessible and unobstructed in the 300 hall dining room. |
Report Facts
Inspections on page: 17
Total deficiencies: 8
Complaint inspections: 15
Total capacity: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator (staff #125) | Administrator | Named in medication supervision deficiency interview |
| Director of Nursing (staff #126) | Director of Nursing | Named in medication supervision deficiency interview |
| Licensed Practical Nurse (staff #124) | Licensed Practical Nurse | Named in medication supervision deficiency interview |
| Dietary Supervisor (staff #44) | Dietary Supervisor | Named in food safety deficiencies observations and interviews |
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