Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Routine
Deficiencies: 8
May 29, 2024
Visit Reason
The inspection was an unannounced routine visit to assess compliance with assisted living facility regulations.
Findings
The facility was found to have 14 rule noncompliances with various deficiencies noted across licensing, personnel, medication administration, resident rights, and other regulatory areas. Some deficiencies were marked as not compliant, with a few requiring correction.
Deficiencies (8)
| Description |
|---|
| One employee did not have a job description on file. |
| The facility did not have hospice orders and plan of care for one resident. |
| Medications were administered late for one resident. Three employees who administer medications did not have medication delegations. |
| One resident received insulin by 2 med techs in the facility; he was assessed to be able to self administer. |
| Chemicals found in the office and under the sink in memory care unit. Chemicals found in the north side laundry room. |
| No birds at the facility. |
| 1 employee did not have a signed criminal background check authorization form. |
| 4 employees current status not reflected in DACS within 5 working days of engagement or termination. |
Report Facts
Number of rule noncompliances: 14
Deficiencies cited: 142
Deficiencies corrected during inspection: 14
Deficiencies not corrected: 45
Deficiencies pending: 14
Total citations: 201
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