Inspection Report
Plan of Correction
Census: 25
Capacity: 30
Deficiencies: 1
Sep 23, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction following a biennial survey of The Chapman House, a PNMI Level IV Residential Care Facility.
Findings
The facility failed to ensure hot water temperatures in resident areas did not exceed 120°F. Observations on 9/23/2025 found hot water temperatures of 125°F and 126°F in resident bathrooms, exceeding the required range of 105°F to 120°F.
Severity Breakdown
Class II: 1
Class III: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature for residents exceeded the required maximum of 120°F, measuring 125°F and 126°F in resident bathrooms. | Class II, III |
Report Facts
Hot water temperature: 125
Hot water temperature: 126
Census: 25
Total capacity: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Jwans | Administrator | Administrator named on the report and involved in exit interview |
| Maintenance Director | Named in relation to deficiency and plan of correction | |
| Kitchen Manager | Named as participant in exit interview | |
| Business Manager | Named as participant in exit interview |
Inspection Report
Biennial Survey
Census: 25
Capacity: 30
Deficiencies: 1
Sep 23, 2025
Visit Reason
The visit was a biennial survey to assess compliance with the Assisted Housing Program Licensing Rule for Residential Care Facilities.
Findings
The facility failed to ensure hot water temperatures in resident areas did not exceed 120°F, with observed temperatures of 125°F and 126°F in two locations.
Severity Breakdown
Class II, III: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature for residents exceeded the maximum allowed 120°F, measuring 125°F in the downstairs public bathroom and 126°F in bedroom bathroom 212. | Class II, III |
Report Facts
Hot water temperature: 125
Hot water temperature: 126
Census: 25
Total capacity: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie J Iwans | Administrator | Administrator present at exit interview |
Inspection Report
Census: 30
Capacity: 30
Deficiencies: 4
Jul 2, 2024
Visit Reason
The inspection was conducted to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for a PNMI Level IV Residential Care Facility, focusing on sanitation, dietary services, and infection prevention and control.
Findings
The facility was found not in substantial compliance due to multiple deficiencies related to food storage, refrigeration, labeling, and the use of outdated food items. Specific issues included food stored less than six inches above the floor, lack of a thermometer in a chest freezer, unlabeled and undated food items, and the presence of outdated food.
Severity Breakdown
Class III: 1
Class I/II: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Food items stored less than six inches above the floor in walk-in freezer and refrigerator. | Class III |
| Chest freezer lacked a conspicuous, easily readable thermometer. | — |
| Perishable refrigerated and frozen food items were unlabeled and undated. | — |
| Outdated food items were present and used in the facility. | Class I/II |
Report Facts
Census: 30
Total Capacity: 30
Unlabeled individual desserts: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie J. Iwans | Administrator | Administrator reviewed all findings at time of survey and exit interview |
Inspection Report
Biennial Survey
Census: 30
Capacity: 25
Deficiencies: 0
Sep 13, 2023
Visit Reason
The visit was a biennial survey to assess compliance with regulations governing the licensing and functioning of Level IV Residential Care Facilities.
Findings
The Chapman House was found to be in substantial compliance with the applicable regulations for Level IV Residential Care Facilities.
Inspection Report
Complaint Investigation
Capacity: 30
Deficiencies: 0
Apr 5, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation identified as 2023-AHP-32867.
Findings
The Chapman House, a Level IV PNMI Residential Care Facility, was found to be in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level IV PNMI Residential Care Facilities.
Complaint Details
Complaint Investigation: 2023-AHP-32867; the facility was found in substantial compliance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie J. Iwans | Administrator | Named as the facility administrator. |
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