Deficiencies per Year
4
3
2
1
0
Severe
Moderate
Unclassified
Inspection Report
Plan of Correction
Deficiencies: 4
Oct 30, 2025
Visit Reason
The inspection was conducted to evaluate compliance with sanitation, dietary services, and physical plant requirements, including food storage, meal preparation, menu posting, heating systems, and bathroom call bell accessibility.
Findings
The facility failed to ensure ice scoops were stored in a clean and sanitary holder, menus were not posted in certain units, heating systems were not tagged as inspected annually, and bathrooms accessible to residents lacked call bells.
Severity Breakdown
Class I: 1
Class II: 1
Class III: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure ice scoops were stored in a clean and sanitary holder. | Class I, II |
| No posted menus in Dickens and Garden units at the time of survey. | — |
| Heating systems were not tagged as inspected annually. | Class III |
| Bathrooms accessible to residents were not equipped with call bells. | — |
Report Facts
Ice scoops observed: 2
Date of inspection: Oct 30, 2025
Date completed: Dec 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Dietary Services | Confirmed findings related to ice scoop storage and menu posting during observation and exit interview. | |
| Healthcare Wellness Director | Reviewed findings during exit interview. | |
| Plant Operations | Confirmed findings and reviewed during exit interview. | |
| Executive Director | Executive Director | Person responsible for plan of correction. |
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