Inspection Report
Annual Inspection
Deficiencies: 2
Oct 28, 2025
Visit Reason
Annual Survey conducted on 10/28/2025 to assess compliance with state regulations for Heathers Senior Home.
Findings
The facility was found deficient in ensuring service plans addressed hospice services and activities of daily living for residents, and failed to comply with food service sanitation requirements, specifically regarding hair coverings for food employees.
Severity Breakdown
Type 3 Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Service plans did not adequately address hospice services and all activities of daily living for 2 of 3 residents reviewed (R1 & R3). | Type 3 Violation |
| Food service failed to meet Food Service Sanitation Code by not wearing hair coverings while preparing resident food, posing a risk of contamination. | Type 3 Violation |
Report Facts
Residents reviewed for service plan deficiency: 3
Local health department kitchen inspection items out of compliance: 7
Frequency of hospice nurse visits: 1
Frequency of hospice aide visits: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Health and Wellness, RN | Signed hospice services addendum and provided interview about resident care |
| E3 | Dietary | Observed preparing resident sandwiches without hair net or cap |
Inspection Report
Annual Inspection
Deficiencies: 1
Nov 12, 2024
Visit Reason
Annual survey conducted to assess compliance with the Health Care Worker Background Check Act and related regulations.
Findings
The facility failed to comply with the Health Care Worker Background Check Act by not having documentation of a required background check for one employee (E3). This failure poses a substantial probability of harm to residents.
Severity Breakdown
Type 3 Violation: 2
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to conduct and document a health care worker background check for employee E3 as required by the Health Care Worker Background Check Act. | Type 3 Violation |
Report Facts
Employees reviewed: 8
Employees non-compliant: 1
Fine per offense: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E3 | Care Partner | Employee without documented health care worker background check |
| E1 | Executive Director | Interviewed regarding the deficiency and corrective action |
Inspection Report
Enforcement
Deficiencies: 1
6023436 View POC 001 State survey response 4570
Visit Reason
The document serves as a statement of violations/findings related to compliance with the Assisted Living and Shared Housing Establishment Code, specifically regarding employee fingerprinting requirements.
Findings
A Type 3 violation was identified for failure to complete required fingerprinting and background checks for an employee. The employee is not to be scheduled for shifts until fingerprint results and eligibility are confirmed.
Severity Breakdown
Type 3 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to complete fingerprinting and background check for an employee as required by state regulations. | Type 3 Violation |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Bohyer | Executive Director | Named as facility Executive Director in the report header. |
| Davina Bialczak | Director of Health and Wellness | Named as Director of Health and Wellness in the report header. |
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