Inspection Report
Capacity: 107
Deficiencies: 2
Jul 21, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-04-17 to 2025-07-21 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had two deficiencies cited during a complaint investigation in 2024 related to resident egress control and medication administration compliance. Other inspections, including complaint and modification types, found no deficiencies.
Complaint Details
Complaint investigations were conducted on 7/21/2025 and 8/1/2024. The 2024 complaint investigation resulted in two deficiencies related to resident egress and medication administration. The 2025 complaint investigation found no deficiencies.
Deficiencies (2)
| Description |
|---|
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; Based on document review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a potential elopement risk to residents. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and Based on record review and interview, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for two of seven resident records reviewed. |
Report Facts
Inspections on page: 5
Total deficiencies: 2
Complaint Inspections: 2
Total Capacity: 107
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