Inspection Report
Routine
Deficiencies: 14
Feb 24, 2025
Visit Reason
The inspection was an unannounced routine visit to assess compliance with assisted living facility regulations, including review of policies, procedures, and resident care.
Findings
The facility was found to have 14 rule noncompliances with various deficiencies noted across multiple regulatory areas including licensing, personnel, resident rights, medication administration, and housekeeping.
Deficiencies (14)
| Description |
|---|
| Identification badges not worn by all direct care employees |
| Provider failed to protect clients from abuse, neglect, exploitation, and mistreatment |
| Licensee did not ensure a person who offers or provides care is licensed as an assisted living facility |
| Administrator qualifications not fully met for type II facility |
| Administrator duties not fully met including quality assurance and reporting |
| Personnel files incomplete for some employees |
| Resident assessment did not accurately reflect resident status |
| Service plan did not include frequency of medication administration |
| Medication administration errors and incomplete documentation |
| Cleaning agents and hazardous materials not stored securely |
| Emergency and disaster plans incomplete or missing |
| Resident funds not managed by the facility |
| Emergency drills did not include resident participants |
| Fire doors not secured and maintenance issues with electrical panel |
Report Facts
Rule noncompliances: 14
Inspection start time: 815
Inspection end time: 1600
Number of terminated employees without required records: 3
Number of scissors found: 3
Number of hand trimmers found: 2
Number of lighter found: 1
Loading inspection reports...
