Violation Details: CALMS - 00113920

Date
4/15/2026
Report number
CALMS - 00113920
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide appropriate staffing
Result
Substantiated
Rule(s) Violated
411-054-0037(4)(5)(6)
Findings
The facility’s failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident, use the results of an ABST to develop and routinely update the facility’s posted staffing plan, and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated.