Routine inspection·February 18, 2026

Citations

7 citations recorded^*CCLD

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  Based on observation, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. During this visit, LPA observed the following: General cleaning needs- baseboards, wall, lightswitch cleaning, Wall & doorway molding damage from wheelchair contact, water damage in R6 closet carpet & baseboard, taped transition board in entryways, broken plastic bins in backyard, kitchen drawers to be cleaned out, broken tiles

• 87309(b)Type B

  Resident access to hazardous items with safety review

  Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Per current Physician Reports, the following residents are at risk if allowed access to grooming and hygiene items: R1, R2 and R5. Additionally, R1, R3, R4 & R5 have Dementia. Hygiene items were observed in the rooms of R4, R6, R5/R3 (shared).

• 87404(d)(2)Type A

  Based on observation, the licensee did not comply with the section cited abovewhich poses an immediate health, safety or personal rights risk to persons in care. Administrator (AD) did not maintain the Fire Clearance. There are 2 self releasing gates/exits from the back to front yard. One gate was locked and staff was not able to unlock. The other was very difficult to open. The knob is in disrepair and the gate requires to be lifted and pushed to open. This poses an immediate health and safety risk to residents in care.

• 87412(f)Type B

  Allow licensing inspection and controlled record removal

  Based on interview, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA requested staff files to review during this Annual Inspection. LPA was informed the files are not maintained at the facility. Licensee was contacted and unable to provide the files so LPA could not conduct audit of staff files and training today.

• 87463(a)Type B

  Update reappraisal at required intervals

  Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Residents do not have current reappraisals. Needs and Service (or Care Plans) which were reviewed were ALW plans dated 10/13/23-4/30/24. Residents with Dementia or Changes of condition are not noted, the plans are not current. This poses a potential health & safety risk to persons in care.

• 87470(c)(1)(C)Type B

  Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

• 87555(b)(7)Type A

  Modified diets for medical necessity

  Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed S1 serve R1 lunch which was not prepared according to the physician prescribed special diet "Mechanical Soft Blended. R2, R3, R5 have special diet orders and R6 has an order that needs to be clarified by Physician. This poses an immediate health and safety risk to persons in care.