Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Renewal
Census: 40
Deficiencies: 0
Apr 8, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 39
Number of tenants with cognitive impairment: 1
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 2
Sep 28, 2023
Visit Reason
The inspection was conducted as part of an investigation into Complaint #111442-C regarding regulatory insufficiencies at the assisted living program.
Findings
The program failed to complete an incident report for a medical emergency involving Tenant C1 and did not follow established policies for family notification during emergency situations. The tenant was transferred to the hospital for asthma exacerbation and other complications, but the family was not promptly notified by the program staff.
Complaint Details
The visit was triggered by Complaint #111442-C. The complaint involved failure to complete incident reporting and failure to notify family members promptly about Tenant C1's emergency hospitalization. The complaint was substantiated based on interviews and record reviews.
Deficiencies (2)
| Description |
|---|
| Failure to complete an incident report form for Tenant C1's medical emergency. |
| Failure to follow established policy on family notifications during emergency situations for Tenant C1. |
Report Facts
Number of tenants without cognitive disorder: 45
Number of tenants with cognitive disorder: 1
Total census: 46
Inspection Report
Renewal
Census: 49
Deficiencies: 0
Jan 26, 2023
Visit Reason
Recertification visit conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 47
Number of tenants with cognitive disorder: 2
Total census: 49
Inspection Report
Routine
Deficiencies: 0
Jul 16, 2020
Visit Reason
The inspection was conducted as an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the infection control survey completed on 7/16/2020.
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 0
Sep 23, 2019
Visit Reason
Investigation into Complaint #84421-C at the Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Complaint Details
Investigation into Complaint #84421-C found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 54
Number of tenants with cognitive disorder: 6
Total census: 60
Inspection Report
Original Licensing
Census: 50
Deficiencies: 0
Aug 29, 2018
Visit Reason
Initial certification visit to determine compliance with the rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the initial certification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 46
Number of tenants with cognitive disorder: 4
Total census: 50
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