Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 3
May 23, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2023-07-11 to 2025-05-23 with deficiency history and complaint investigations.
Findings
Across six inspections, including four complaint investigations and two annual compliance inspections, no deficiencies were found in complaint investigations, while annual compliance inspections identified three deficiencies related to storage of toxic materials, evacuation drill documentation, and opioid administration policies.
Complaint Details
Four complaint investigations were conducted on 2024-01-05, 2024-04-16, 2024-10-21, and 2025-05-23; all found no deficiencies.
Deficiencies (3)
| Description |
|---|
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; - Failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents. |
| A. A manager shall ensure that: 6. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the evacuation drill, and includes: c. If applicable: i. An identification of residents needing assistance for evacuation, and ii. An identification of residents who were not evacuated; - Failed to ensure evacuation drill documentation included identification of residents needing assistance and those not evacuated. |
| R9-10-120. Opioid Prescribing and Treatment F. - Failed to establish, document, and implement policies and procedures for administering opioids covering personnel qualifications, assessment, monitoring, and documentation as required. |
Report Facts
Inspections on page: 6
Total deficiencies: 3
Complaint inspections: 4
Total capacity: 110
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