Inspection Report
Biennial Survey
Census: 26
Capacity: 30
Deficiencies: 2
Nov 14, 2023
Visit Reason
The inspection was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Assisted Living Programs.
Findings
The facility was found non-compliant due to failure to complete resident reassessments and service plans every six months as required. Three resident files reviewed all showed gaps greater than six months in reassessments and service plans.
Deficiencies (2)
| Description |
|---|
| Failure to complete reassessments every six months as required by regulation. |
| Failure to complete service plans every six months as required by regulation. |
Report Facts
Resident files reviewed: 3
Census: 26
Total capacity: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katharine Oneill | Administrator | Named as facility administrator during survey |
| Nurse Manager | Participated in review of findings with surveyors |
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