{"idNumber":"F23-106743","name":"Stoney Brooke of Riverdale","address":{"suggestedAddress":null,"id":null,"addressOne":"4390 South 700 West","addressTwo":"","city":"Riverdale","state":"UT","zipCode":"84405","county":null,"addressString":" 4390 South 700 West Riverdale, UT 84405","valid":true},"phone":"8013932824","type":null,"licenseType":"Assisted Living Facility - Type II","capacity":16,"underAgeTwoCapacity":0,"initialRegulationDate":"2002-02-26","expirationDate":"2028-04-30","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":null,"licenseTypes":[{"name":"Assisted Living Facility - Type II","licenseExpirationDate":"2028-04-30","status":null,"totalCapacity":16,"underAgeTwoCapacity":0}],"inspections":[{"id":null,"inspectionDate":"2025-11-18","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection, Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-10-20","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":30885,"ruleNumber":"R432-270-20(1)","ruleDescription":"Accurate and complete records","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The licensee was out of compliance with R432-270-20(1) by not ensuring records were easily accessible to the OL. During the inspection, the licensor requested 1 terminated employee's file and it was not provided. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, 8/11/2025, and 9/15/2025.","cmpAmount":200.0,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that all records were made available to the department, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30813,"ruleNumber":"R432-270-9(2)(a)-(b)","ruleDescription":"Resident's legal rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The licensee was out of compliance with R432-270-9(2)(b) by not ensuring that residents received all their legal rights. During the inspection, the admission paperwork for 1 resident was reviewed. Their legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, 8/11/2025, and 9/15/2025.","cmpAmount":200.0,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that residents were given all their legal rights upon admission, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-09-15","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":30827,"ruleNumber":"R432-270-10(8)(a)-(b)","ruleDescription":"Written resident agreement","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-10(8)(a), (c)(i), and (c)(vii) by not ensuring admission agreements were complete. During the inspection, a sample of admission agreements were reviewed. Two residents did not have completed, signed admission agreements. One resident admission agreement did not include a notice that the department could examine resident records to determine compliance or provisions for a 30-day notice before any change in established charges. \n\nThis is a repeat non-compliance as noted on 8/27/2024, 5/27/2025, 6/30/2025 and 8/11/2025.","cmpAmount":200.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured all residents had completed admission agreements, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30854,"ruleNumber":"R432-270-17(1)","ruleDescription":"Activity and recreational programs","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(1) by not ensuring residents were encouraged to maintain and develop their fullest potential for independent living through participation in activity and recreational programs. During the inspection, residents were not encouraged to participate in activities or recreational programs throughout the day. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025 and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured residents had the opportunity to participate in activity and recreational programs, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30855,"ruleNumber":"R432-270-17(2)(a)-(d)","ruleDescription":"Socialization and community activities","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(2)(a)-(d) by not ensuring that residents were provided the opportunity to participate in all types of activities. During the inspection, the licensor observed an activity calendar posted, however the calendar did not contain independent living activities to foster and maintain independent functioning; physical activities; or community activities to promote resident participation in activities away from the facility, and per observation and reports, the listed socialization activities were not provided.\n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured that socialization and community activities were provided, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30856,"ruleNumber":"R432-270-17(3)(a)-(c)","ruleDescription":"Activity coordinator","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(3)(a) and (c) by not ensuring the activity coordinator fulfilled all their duties. During the inspection, a general tour of the facility was conducted and residents were not observed to be engaged or participating in activities. Two residents were interviewed and both reported that the facility does not provide any activities.\n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured they had designated an activity coordinator, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30885,"ruleNumber":"R432-270-20(1)","ruleDescription":"Accurate and complete records","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-20(1) by not ensuring records were easily accessible to the OL. During the inspection, the licensor requested 1 terminated employee's file and it was not provided. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that all records were made available to the department, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30916,"ruleNumber":"R432-270-25(6)(a)-(j)","ruleDescription":"Emergency and disaster response plan","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-25(6)(b) and (c) by not ensuring their emergency and disaster response plan was complete. During the inspection, the facility's emergency and disaster response plan was reviewed. It did not contain instructions on the delivery of essential care and services to facility occupants by alternate means or the delivery of essential care and services if additional persons were housed in the facility. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/302025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured the emergency and disaster response plan was complete, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30979,"ruleNumber":"R432-270-8(10)(a)-(b)","ruleDescription":"In-service training","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-8(10)(b)(x) by not ensuring employees were trained. During the inspection, 3 employees annual in-services were reviewed. They did not receive all the required in-services. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employees received training in all the required areas, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30972,"ruleNumber":"R432-270-8(15)(a)-(g)","ruleDescription":"Employee health inventory","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-8(15)(a) by not ensuring the personnel health program was followed for all employees. During the inspection, 1 employee's file was reviewed. They did not have documentation of a health inventory. \n\nThis is a repeat noncompliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employes completed health inventories, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30813,"ruleNumber":"R432-270-9(2)(a)-(b)","ruleDescription":"Resident's legal rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-9(2)(b) by not ensuring that residents received all their legal rights. During the inspection, the admission paperwork for 1 resident was reviewed. Their legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. \n\nThis is a repeat non-compliance as noted on 5/27/2025, 6/30/2025, and 8/11/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that residents were given all their legal rights upon admission, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-08-11","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24621,"ruleNumber":"R432-1-4(1)(a)-(b)","ruleDescription":"Wearing Identification Badge","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-1-4(1)(a) by not ensuring direct care employees wore name badges. During the inspection, direct care employees were not observed wearing name badges. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured direct care employees wore name badges, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30827,"ruleNumber":"R432-270-10(8)(a)-(b)","ruleDescription":"Written resident agreement","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-10(8)(a), (c)(i), and (c)(vii) by not ensuring admission agreements were complete. During the inspection, a sample of admission agreements were reviewed. Two residents did not have completed, signed admission agreements. Two resident admission agreements did not include a notice that the department could examine resident records to determine compliance or provisions for a 30-day notice before any change in established charges.  \n\nThis is a repeat non-compliance as noted on 8/27/2024, 5/27/2025 and 6/30/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured all residents had completed admission agreements, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30916,"ruleNumber":"R432-270-25(6)(a)-(j)","ruleDescription":"Emergency and disaster response plan","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-25(6)(b) and (c) by not ensuring their emergency and disaster response plan was complete. During the inspection, the facility's emergency and disaster response plan was reviewed. It did not contain instructions on the delivery of essential care and services to facility occupants by alternate means or the delivery of essential care and services if additional persons were housed in the facility. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/302025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured the emergency and disaster response plan was complete, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30972,"ruleNumber":"R432-270-8(15)(a)-(g)","ruleDescription":"Employee health inventory","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-8(15)(a) and (e)(i) by not ensuring the personnel health program was followed for all employees. During the inspection, 1 employee's file was reviewed. They did not have documentation of a completed tuberculosis skin test or a health inventory. \n\nThis is a repeat noncompliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employes completed health inventories, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30979,"ruleNumber":"R432-270-8(10)(a)-(b)","ruleDescription":"In-service training","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-8(10)(b)(ii)(iii)(iv)(v)(x)(xi)(xii) by not ensuring employees were trained. During the inspection, 3 employees annual in-services were reviewed. They did not receive all the required in-services. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employees received training in all the required areas, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":29121,"ruleNumber":"R432-35-3(2)(a)-(b)","ruleDescription":"15 days to submission of prints","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-35-3(2)(b) by not ensuring employee background checks were completed. During the inspection, the Direct Access Clearance System was accessed and the facility’s roster was reviewed. One employee had not submitted fingerprints within 15 working days of their hire date. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured employees submitted fingerprints within 15 working days of their hire date, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30833,"ruleNumber":"R432-270-12(1)","ruleDescription":"Signed and dated resident assessment completed prior to admission","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-270-12(1) by not ensuring signed and dated resident assessments were complete for each resident before admission and at least every six months thereafter. During the inspection, 1 resident's file was reviewed and their assessment did not include a level of care for incontinence. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured resident assessments were complete, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30854,"ruleNumber":"R432-270-17(1)","ruleDescription":"Activity and recreational programs","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(1) by not ensuring residents were encouraged to maintain and develop their fullest potential for independent living through participation in activity and recreational programs. During the inspection, residents were not encouraged to participate in activities or recreational programs throughout the day. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured residents had the opportunity to participate in activity and recreational programs, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30855,"ruleNumber":"R432-270-17(2)(a)-(d)","ruleDescription":"Socialization and community activities","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(2)(a)-(d) by not ensuring that opportunities for the following were provided: socialization activities; independent living activities to foster and maintain independent functioning; physical activities; and community activities to promote resident participation in activities away from the facility. During the inspection, the licensor observed an activity calendar posted, but did not observe that residents were engaged or participating in activities throughout the day. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured that socialization and community activities were provided, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30856,"ruleNumber":"R432-270-17(3)(a)-(c)","ruleDescription":"Activity coordinator","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(3)(a) and (c) by not ensuring the administrator designated an activity coordinator to direct the facility's activity program; coordinate recreational activities, including volunteer and auxiliary activities; plan, organize, and conduct the residents' activity program with resident participation; including information on community activities, based on residents' needs and interests. During the inspection, an environmental tour of the facility was conducted and residents were not observed to be engaged or participating in activities throughout the day. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured they had designated an activity coordinator, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30885,"ruleNumber":"R432-270-20(1)","ruleDescription":"Accurate and complete records","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-20(1) by not ensuring records were easily accessible to the OL. During the inspection, the licensor requested 1 terminated employee's file and it was not provided. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that all records were made available to the department, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30906,"ruleNumber":"R432-270-24(1)","ruleDescription":"Written schedule for maintenance","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-270-24(1) by not ensuring maintenance was conducted to ensure that the facility equipment, fixtures, and spaces, were safe and in good repair and in compliance with Rule R432-6. During the inspection, the licensor spoke with 1 resident who reported that her maintenance requests had not been addressed. \n\nThis is a repeat non-compliance as noted on 8/27/2024, 5/27/2025 and 6/30/2025.","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured all maintenance requests were addressed, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30813,"ruleNumber":"R432-270-9(2)(a)-(b)","ruleDescription":"Resident's legal rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-9(2)(b) by not ensuring that residents received all their legal rights. During the inspection, the admission paperwork for 3 residents were reviewed. Their legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. \n\nThis is a repeat non-compliance as noted on 5/27/2025 and 6/30/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that residents were given all their legal rights upon admission, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-30","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24621,"ruleNumber":"R432-1-4(1)(a)-(b)","ruleDescription":"Wearing Identification Badge","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-1-4(1)(a) by not ensuring direct care employees wore name badges. During the inspection, direct care employees were not observed wearing name badges.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured direct care employees wore name badges, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30813,"ruleNumber":"R432-270-9(2)(a)-(b)","ruleDescription":"Resident's legal rights","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-9(2)(b) by not ensuring that the residents received all their legal rights. During the inspection, the admission paperwork for 3 residents was reviewed. Their legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that residents were given all their legal rights upon admission, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24782,"ruleNumber":"R432-270-11(8)(a)-(g)","ruleDescription":"Written Resident Agreement","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-11(8)(a)(b) and (f) by not ensuring admission agreements were complete. During the inspection, a sample of admission agreements were reviewed. Two residents did not have a signed admission agreement. Three resident admission agreements did not include a notice that the department could examine resident records to determine compliance or provisions for a 30-day notice before any change in established charges. One resident's admission agreement did not include room and board charges and charges for basic and optional services.\n\nThis is a repeat non-compliance as noted on 8/27/2024 and 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured all residents had completed admission agreements, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30833,"ruleNumber":"R432-270-12(1)","ruleDescription":"Signed and dated resident assessment completed prior to admission","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-270-12(1) by not ensuring signed and dated resident assessments were complete for each resident before admission and at least every six months thereafter. During the inspection, 3 resident files were reviewed and their assessments did not include a level of care for incontinence.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured resident assessments were complete, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30854,"ruleNumber":"R432-270-17(1)","ruleDescription":"Activity and recreational programs","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(1) by not ensuring residents were encouraged to maintain and develop their fullest potential for independent living through participation in activity and recreational programs. During the inspection, residents were not observed to be encouraged to participate in activities or recreational programs throughout the day.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured residents had the opportunity to participate in activity and recreational programs, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30855,"ruleNumber":"R432-270-17(2)(a)-(d)","ruleDescription":"Socialization and community activities","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(2)(a)-(d) by not ensuring that opportunities for the following were provided: socialization activities; independent living activities to foster and maintain independent functioning; physical activities; and community activities to promote resident participation in activities away from the facility. During the inspection, the licensor observed an activity calendar posted but did not observe that residents engaged or participating in activities throughout the day.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured that socialization and community activities were provided, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30856,"ruleNumber":"R432-270-17(3)(a)-(c)","ruleDescription":"Activity coordinator","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-17(3)(a) and (c) by not ensuring the administrator designated an activity coordinator to direct the facility's activity program; coordinate recreational activities, including volunteer and auxiliary activities; plan, organize, and conduct the residents' activity program with resident participation; including information on community activities, based on residents' needs and interests. During the inspection, an environmental tour of the facility was conducted and residents were not observed to be engaged or participating in activities throughout the day.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured they had designated an activity coordinator, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30875,"ruleNumber":"R432-270-18(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The Licensee was out of compliance with R432-270-18(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, a medication pass was observed and 1 resident’s medication was not administered according to the prescribing orders.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured medications were administered as prescribed, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30885,"ruleNumber":"R432-270-20(1)","ruleDescription":"Accurate and complete records","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-11-18","findingText":"The Licensee was out of compliance with R432-270-20(1) by not ensuring records were easily accessible to the Department. During the inspection, the licensor requested 1 employee file and it was not provided.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On November 18, 2025, the licensor verified that the administrator ensured that all records were made available to the department, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30896,"ruleNumber":"R432-270-21(8)(a)-(c)","ruleDescription":"Food service personnel","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The licensee was out of compliance with R432-270-21(8)(c) by not ensuring personnel who served or prepared food had a current food handler's permit. During the inspection, 1 employee who was identified to serve food did not have a current food handler's permit in their file.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured food service personnel had current Food Handler's permits., as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":30906,"ruleNumber":"R432-270-24(1)","ruleDescription":"Written schedule for maintenance","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-270-24(1) by not ensuring maintenance was conducted to ensure that the facility equipment, fixtures, and spaces, were safe and in good repair and in compliance with Rule R432-6. During the inspection, the licensor spoke with 1 resident who reported that 2 of her maintenance requests had not been addressed. \n\nThis is a repeat non-compliance as noted on 8/27/2024 and 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured all maintenance requests were addressed, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":25552,"ruleNumber":"R432-270-26(5)","ruleDescription":"Review and update emergency and evacuation plan","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The Licensee was out of compliance with R432-270-26(5) by not ensuring the administrator reviewed and updated the emergency and disaster plan. During the inspection, the emergency and disaster plan was reviewed and was observed to have been borrowed from another facility. The name of the person in charge and persons with decision-making authority as well as the persons who were to be notified in an emergency included the names of the persons from the assisted living facility that the plan was borrowed from.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured their emergency and disaster plan was accurate, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24902,"ruleNumber":"R432-270-26(6)(a)-(j)","ruleDescription":"Emergency and Disaster Response Plan","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-26(6)(a)(b)(e)-(j) by not ensuring their emergency and disaster response plan was complete. During the inspection, the facility's emergency and disaster response plan was reviewed. It did not address the names of the person in charge and the persons with decision-making authority; the names of persons who should be notified in an emergency in order of priority; assignment of personnel to specific tasks during an emergency; the procedure to evacuate and transport residents and staff to a safe place within the facility or to other prearranged locations; instructions on how to obtain additional supplies, and equipment to meet the resident's needs after an emergency or disaster; delivery of essential care and services to facility occupants by alternate means; delivery of essential care and services if additional persons were housed in the facility; and delivery of essential care and services to facility occupants if personnel were reduced by an emergency.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured the emergency and disaster response plan was complete, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24883,"ruleNumber":"R432-270-27(1)(a)-(d)","ruleDescription":"First Aid Training","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The Licensee was out of compliance with R432-270-27(1)(a)-(d) by not ensuring there was one staff person on duty at all times, who had training in basic first aid; training in the Heimlich maneuver; certification in cardiopulmonary resuscitation; and training in emergency procedures to ensure each resident received prompt first aid as needed. During the inspection, a sample of personnel files were reviewed and 1 employee who worked alone did not have documentation of the aforementioned training in their file.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured employees who worked alone were certified in CPR and first aid, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":29121,"ruleNumber":"R432-35-3(2)(a)-(b)","ruleDescription":"15 days to submission of prints","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-35-3(2)(b) by not ensuring employee background checks were completed. During the inspection, the Direct Access Clearance System was accessed and the facility’s roster was reviewed. One employee had not submitted fingerprints within 15 working days of their hire date.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured employees submitted fingerprints within 15 working days of their hire date, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":29122,"ruleNumber":"R432-35-3(3)","ruleDescription":"Update Status within 5 working days","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The Licensee was out of compliance with R432-35-3(3) by not ensuring that employee's status’ in the Direct Access Clearance System were accurate. During the inspection, 1 current employee and 1 terminated employee's status’ in the Direct Access Clearance System were reviewed. The current employee's status showed them as a “Separated” employee of the facility and the terminated employee's status showed them as a \"Permanent\" employee of the facility.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured the status of current and terminated employees were reflected in DACS within 5 working days of the action, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24921,"ruleNumber":"R432-270-26(10)(a)-(g)","ruleDescription":"Emergency Supplies","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-08-11","findingText":"The Licensee was out of compliance with R432-270-26(10)(g) by not ensuring that they had adequate emergency supplies on hand. During the inspection, the emergency supplies were observed. The facility did not have a radio.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On August 11, 2025, the licensor verified that the administrator ensured they had an emergency radio, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24761,"ruleNumber":"R432-270-9(14)(a)-(g)","ruleDescription":"Employee Health Inventory","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-9(14)(a) and (e)(i) by not ensuring the personnel health program was followed for all employees. During the inspection, 1 employees file was reviewed. They did not have documentation of a tuberculosis skin test or a health inventory.\n\nThis is a repeat noncompliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employes completed health inventories, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24757,"ruleNumber":"R432-270-9(9)(a)-(l)","ruleDescription":"In-service Training","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-9(9)(b)(e)(f)(g)(h)(i)(j)(k)(l) by not ensuring employees were trained. During the inspection, 3 employees annual in-services were reviewed. They did not receive all required in-services.\n\nThis is a repeat non-compliance as noted on 5/27/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured employees received training in all the required areas, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-27","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[652647],"findings":[{"ruleId":24901,"ruleNumber":"R432-270-25(1)","ruleDescription":"Written schedule for maintenance","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-09-15","findingText":"The Licensee was out of compliance with R432-270-25(1) by not ensuring maintenance was conducted to ensure that the facility equipment, fixtures, and spaces, were safe and in good repair and in compliance with Rule R432-6.  During the inspection, the licensor spoke with 1 resident who reported that 2 of her maintenance requests had not been addressed.\n\nThis is a repeat non-compliance as noted on 8/27/2024.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On September 15, 2025, the licensor verified that the administrator ensured all maintenance requests were addressed, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24782,"ruleNumber":"R432-270-11(8)(a)-(g)","ruleDescription":"Written Resident Agreement","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-20","findingText":"The Licensee was out of compliance with R432-270-11(8)(a)(b) and (f) by not ensuring admission agreements were complete.  During the inspection, a sample of admission agreements were reviewed.  Two residents did not have a signed admission agreement.  Three resident admission agreements did not include a notice that the department could examine resident records to determine compliance or provisions for a 30-day notice before any change in established charges.  One resident's admission agreement did not include room and board charges and charges for basic and optional services.\n\nThis is a repeat non-compliance as noted on 8/27/2024.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On October 20, 2025, the licensor verified that the administrator ensured all residents had completed admission agreements, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-13","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-23","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-04","inspectionTypes":"Complaint, Investigation Inspection, Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24914,"ruleNumber":"R432-270-25(4)","ruleDescription":"Document maintenance work","complaintDates":"10/25/2024","findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-01-23","findingText":"The provider was out of compliance with this rule by not ensuring they documented any maintenance work or pest control performed. During the inspection, documentation of the pest control program was requested and was unable to be provided. Additionally, maintenance work had been performed at the facility and had not been documented on the maintenance log.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 1/23/25, the Licensor verified that the maintenance work listed on the maintenance request log was documented as completed. Pest control was also verified as completed with invoices in the maintenance binder.","appealDate":null,"underAppeal":false},{"ruleId":24767,"ruleNumber":"R432-270-10(5)(a)-(x)","ruleDescription":"Residents Rights","complaintDates":"10/25/2024","findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-01-23","findingText":"The provider was out of compliance with this rule by not ensuring resident rights included the right to be treated with consideration and full recognition of personal dignity and individuality. During the inspection, 1 resident was noted to have asked for a key to their private room and the request had not been fulfilled.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 1/23/25, the Licensor verified residents were able to access their rooms independently. The resident who had requested a key to their room had been discharged to the hospital and subsequently to a nursing home. Return to the assisted living was unknown and thought to be unlikely according to the medtech on shift during the inspection.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-10-15","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":null,"cmsCertNumber":null}