Inspection Report Summary
Most inspections found no deficiencies, including all complaint investigations and the most recent inspection on August 27, 2025. The only deficiencies occurred during the annual compliance inspection on October 30, 2023, involving resident acceptance of individuals needing continuous medical services, incomplete or outdated service plans, and missing opioid administration policies. These issues were related mainly to resident care planning and medication policy documentation, and no fines or enforcement actions were noted. Several complaint investigations were unsubstantiated, showing no ongoing concerns from those reports. The facility appears to have addressed earlier deficiencies, as recent inspections have been clean.
Deficiencies per Year
| Description |
|---|
| C. A manager shall not accept or retain an individual if: 1. The individual requires continuous: a. Medical services; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The level of service |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes |
| R9-10-120. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is... |
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