Post-licensing visit·May 14, 2026

Citations

6 citations recorded^*CCLD

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observations, staff left knives and sharp objects in kitchen area which poses an immediate health, safety or personal rights risk to persons in care.

• 87411(a)Type A

  Facility personnel sufficiency and competence

  Based on observations and interviews, staff are bringing resident's to a neighboring facility without increase staffing. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

• 87465(h)Type A

  Apply centrally stored medication safeguards

  Record review indicated that medications records were not properly maintained on Centrally Stored Logs, updated medications lists were not present in residents files, staff were writing instructions on medications bottles and facility was not disposing discontinued medications per requirements, which poses an immediate health, safety or personal rights risk to persons in care.

• 87412(a)Type B

  Maintain required personnel records for staff

  Record review indicated that , Staff, S2 file was missing CPR/First Aid certificate, LIC501,LIC503, LIC508, TB test, which poses/posed a potential health, safety or personal rights risk to persons in care.

• 87506(b)Type B

  Resident record must include minimum required items

  Record review for residents, R1,R3,R5 indicated that documents were present but were incomplete and/or not signed and/or dated by staff and/or resident/family as required which poses/posed a potential health, safety or personal rights risk to persons in care.

• 1569.695(c)Type B

  Based on record review , it was noted that facility was not conducting quarterly fire and disaster drills which poses/posed a potential health, safety or personal rights risk to persons in care.