Inspection Report
Biennial Survey
Census: 47
Capacity: 51
Deficiencies: 2
Oct 14, 2025
Visit Reason
The inspection was a biennial survey to assess compliance with the Assisted Housing Program Licensing Rule.
Findings
The facility was found non-compliant with medication storage requirements, specifically failing to provide separate, clearly labeled cubicles for each resident's medications. Additionally, service plans for three residents did not specify the frequency of services to be provided.
Severity Breakdown
Class III: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication cabinet was not equipped with separate, clearly labeled cubicles or other physical means of separation for each resident's medications. | Class III |
| Service plans for three residents did not identify how often services would be provided. | — |
Report Facts
Census: 47
Total Capacity: 51
Resident records reviewed: 5
Residents with deficient service plans: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flor Merritt | Administrator | Confirmed findings during observation and exit interview |
Inspection Report
Biennial Survey
Census: 47
Capacity: 51
Deficiencies: 2
Oct 14, 2025
Visit Reason
The visit was a biennial survey to assess compliance with the Assisted Housing Program Licensing Rule, including medication storage and service plan requirements.
Findings
The facility failed to ensure medication storage cabinets had separate, clearly labeled cubicles for each resident's medications, and service plans for three residents did not specify the frequency of services provided.
Severity Breakdown
Class III: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Medication cabinet was not equipped with separate, clearly labeled cubicles or physical separation for each resident's medications. | Class III |
| Service plans for three residents did not identify how often services would be provided. | — |
Report Facts
Census: 47
Total Capacity: 51
Residents with incomplete service plans: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flor Merritt | Executive Director | Confirmed findings and responsible for plan of correction |
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