Inspection Report Summary
The most recent inspection on May 21, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of deficiencies primarily involving failure to prevent and timely report incidents of resident-to-resident sexual abuse and issues with medication management and resident dignity. Substantiated complaints included delayed reporting of abuse incidents and failure to protect residents, with corrective actions such as staff training and removal of involved individuals. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s recent clean inspection suggests some improvement following prior issues.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a May 2025 inspection.
Census over time
Inspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Meriam Hillis | Executive Director | Named in relation to awareness and reporting of the sexual abuse incident |
| LPN 1 | Reported the incident from midnight CNA and notified Resident C's wife and physician |
Inspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding catheter bag dignity and PRN medication authorization | |
| LPN 1 | Observed preparing and administering medication with incorrect labeling |
Inspection Report
Follow-UpInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Meriam Hillis | Executive Director | Signed the report and involved in administrative oversight |
Inspection Report
Follow-UpInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Terminated Employee 1 | Employee involved in abuse allegations including video calling during resident care and drug use; terminated after investigation. | |
| Meriam Hillis | Executive Director | Administrator who signed the report and was involved in the investigation. |
| Employee 2 | Witnessed the employee on a video call while assisting residents. | |
| Employee 3 | Received information about the abuse concern and placed statements under the Director of Nursing's office door or in a drawer. | |
| Employee 4 | Witnessed the employee on a video call during resident care and reported the allegation. | |
| Hospice Employee 5 | Reported the employee was on a video call while providing care. | |
| Employee 6 | Reported the employee had been in the bathroom for 45 minutes and the room smelled like marijuana. |
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