Inspection Report
Renewal
Census: 23
Deficiencies: 0
Jul 1, 2025
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector observed residents participating in activities and eating meals, and reviewed resident and staff records without identifying any deficiencies.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Pearson | Licensing Inspector | Inspector conducting the renewal inspection |
Inspection Report
Renewal
Census: 16
Deficiencies: 3
Aug 5, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with several standards related to individualized service plans and medication administration records, resulting in documented violations requiring correction.
Deficiencies (3)
| Description |
|---|
| Facility failed to develop an Individualized Service Plan (ISP) with a coordinated plan of care when hospice care is provided to a resident. |
| Facility failed to ensure the Medication Administration Record (MAR) included the diagnosis, condition or specific indications for administering the drug or supplement. |
| Facility failed to develop an Individualized Service Plan (ISP) to include the resident's Do Not Resuscitate (DNR) order. |
Report Facts
Number of residents present: 16
Number of resident records reviewed: 3
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Inspection Report
Original Licensing
Deficiencies: 0
Jan 30, 2024
Visit Reason
The Licensing Inspector conducted an announced initial inspection of the assisted living facility on January 30, 2024.
Findings
The inspector walked the physical plant, verified window and room measurements, reviewed policies, procedures, and staff records. Building, Fire, and Health inspections were submitted and reviewed with no violations cited.
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