Inspection Report Summary
The most recent inspection on May 30, 2025, identified deficiencies related to a resident not receiving multiple medications as ordered for 19 days due to erroneous discontinuation in the electronic health system. Earlier inspections were mostly clean, with prior reports from 2024 showing substantial compliance except for a repeated medication administration issue noted in April 2024 and again in May 2025. The main deficiency involved medication management errors that affected resident care, specifically the discontinuation of medication orders leading to adverse effects for one resident. The complaint investigation was substantiated, confirming the medication errors and their impact, but no fines or enforcement actions were listed in the available reports. The repeated nature of this issue suggests a need for continued attention to medication administration processes.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a September 2024 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jessica Poulin | Administrator | Interviewed and confirmed medication error |
| Residential Care Director | Interviewed and confirmed medication error | |
| Wellness Nurse #1 | Discontinued medications in error |
Inspection Report
Plan of CorrectionInspection Report
Complaint InvestigationInspection Report
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