Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Routine
Deficiencies: 1
Aug 27, 2025
Visit Reason
The inspection was an unannounced routine inspection conducted to review compliance with assisted living facility regulations.
Findings
The inspection found seven rule noncompliances related to various regulatory requirements for assisted living facilities, including policies, procedures, staffing, resident rights, medication administration, and emergency preparedness.
Deficiencies (1)
| Description |
|---|
| Seven rule noncompliances were identified during the inspection. |
Report Facts
Number of rule noncompliances: 7
Inspection Report
Routine
Deficiencies: 6
Nov 1, 2023
Visit Reason
The inspection was an unannounced routine visit to review compliance with licensing requirements and regulations for an assisted living facility.
Findings
The inspection checklist covers multiple regulatory areas including staff identification, licensing, administrator qualifications, personnel, resident rights, admissions, service plans, nursing services, secure units, medical care, activity programs, medication administration, facility records, food services, housekeeping, maintenance, disaster preparedness, first aid, and more. Several items were marked compliant while some areas noted deficiencies such as lack of documented fire drills and insufficient in-house heating equipment.
Deficiencies (6)
| Description |
|---|
| The facility was not able to provide documented fire drills during the fourth quarter of 2022, first quarter of 2023, and second quarter of 2023. |
| The provider did not have in-house sufficient heating equipment. |
| Current menu was not posted for residents' viewing. |
| One staff member who prepares food did not have a current Food Handler's Permit. |
| Resident records were accessible in an unlocked linen closet on the first floor. |
| Four closed resident files were missing plans of care, physician and nurse practitioner orders, and emergency contact information. |
Report Facts
Inspection duration: 8.25
Number of pages: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Merrone | Licensor | Named as the licensor conducting the inspection and signing the checklist |
| Brian Palmer | Licensor | Listed as one of the licensors conducting the inspection |
| Danielle McKisson | Licensor | Listed as one of the licensors conducting the inspection |
| Troy Knudsen | Licensor | Listed as one of the licensors conducting the inspection |
| April Clarkson | Licensor | Listed as one of the licensors conducting the inspection |
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