Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 7
Apr 13, 2025
Visit Reason
The inspection was a complaint investigation combined with an unannounced annual inspection conducted from April 13 to April 16, 2025.
Findings
The inspection identified 7 rule noncompliances related to various regulatory requirements including resident care, staff qualifications, medication management, resident rights, and facility maintenance. The facility was found non-compliant in several areas such as resident care plans, medication error monitoring, and emergency preparedness.
Complaint Details
The inspection was complaint-related as well as an unannounced annual inspection. Specific substantiation status is not stated.
Deficiencies (7)
| Description |
|---|
| Failure to ensure residents receive necessary care and services to maintain or improve their abilities. |
| Failure to maintain complete and accurate medical records for each resident. |
| Failure to provide a safe, clean, and comfortable environment and maintain buildings and grounds in good repair. |
| Failure to ensure proper medication management including monitoring medication errors and proper storage. |
| Failure to ensure resident rights are protected including privacy, visitation, and freedom from abuse. |
| Failure to maintain adequate staffing and ensure staff qualifications and training. |
| Failure to develop and implement an emergency response and preparedness plan including fire safety and disaster drills. |
Report Facts
Number of rule noncompliances: 7
Inspection start date: Apr 13, 2025
Inspection end date: Apr 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Needles | Administrator | Named as the individual informed of the inspection. |
| Jami Sutch | Licensor | One of the licensors conducting the inspection. |
| Tiffany Stone | Licensor | One of the licensors conducting the inspection. |
| Taryn Degroot | Licensor | One of the licensors conducting the inspection. |
| Jessica Bolander | Licensor | One of the licensors conducting the inspection. |
| Marcie Price | Licensor | One of the licensors conducting the inspection. |
| Nicole Kololli | Licensor | One of the licensors conducting the inspection. |
| Cathie Bristow | Licensor | One of the licensors conducting the inspection. |
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