Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 14
Jul 3, 2025
Visit Reason
State-compiled facility profile showing 9 inspections from August 1, 2021 through July 31, 2025 with deficiency history and enforcement actions.
Findings
Across 9 inspections, the facility had a total of 21 violations with 2 inspections resulting in no violations. Violations covered medication assistance, food service, disaster and emergency procedures, admission and retention standards, and records and reports.
Complaint Details
The most recent inspection dated July 3, 2025 is a Complaint Survey with no violations found.
Deficiencies (14)
| Description |
|---|
| 488.7 (d) (1)(i-iii) — Resident services: Medication assistance requirements including physician attestation, resident medication information, and locked storage. |
| 488.7 (d) (3) — Resident services: System for staff to assist residents needing medication assistance. |
| 488.7 (d) (8) (i-iii) — Resident services: Proper storage of medications by operators including locked cabinets and separation of medications. |
| 488.8 (a) — Food service: Establishment of a balanced, nutritious, and adequate meal program. |
| 488.8 (b) (4) — Food service: Availability and use of resident dietary regimen and allergy information in meal planning. |
| 488.8 (c) (6) — Food service: Sufficient food on hand for emergency meal preparation for at least three days. |
| 488.12 (c)(1-10) — Disaster and emergency procedures: Comprehensive emergency plan including evacuation, staff responsibilities, and emergency contact information. |
| 1001.7 (k) (2) — Admission and retention standards: Development of Individualized Service Plan with resident and representatives. |
| 1001.7 (k) (3) — Admission and retention standards: Implementation of Individualized Service Plan within 30 days of admission. |
| 1001.8 (f) (1)-(2) (i-ii) — Consumer and resident protections: Written residency agreements with required disclosures and signatures. |
| 1001.12 (b) (1-7) — Records and reports: Maintenance of complete, accurate, and current personal records for each resident. |
| 485.11 (b) — Records and reports: Provision of access to information and records as required by the department. |
| 488.10 (e) (4) — Records and reports: Submission of quarterly statistical information reports including census and resident deaths. |
| 488.8 (b) (7) — Food service: Food must be stored, prepared and served to ensure safety and nutritional value. |
Report Facts
Inspections on page: 9
Total violations: 21
No-violation inspections: 2
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