Inspection Report Summary
The most recent inspection on January 14, 2025, identified deficiencies related to timely reporting of serious incidents and incomplete documentation of an abuse allegation. Earlier inspections showed a mix of compliance, with similar issues around reporting and documentation noted previously. Inspectors cited problems mainly with incident reporting procedures and policy alignment with state regulations. The complaint investigation involved an unsubstantiated abuse allegation, but the facility did not meet reporting requirements. The pattern suggests ongoing challenges with administrative processes, with no enforcement actions or fines listed in the available reports.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Interviewed regarding awareness of reporting regulations and plan to update policy |
| E2 | Resident Care Director | Interviewed regarding knowledge of reporting requirements; was not aware prior to 10/11/24 |
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