Violation Details: CALMS - 00119538

Date
6/20/2026
Report number
CALMS - 00119538
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0037(1-7)
Findings
Based on interview and record review, conducted during an investigation on 07/16/26, 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 and use the results of an Acuity-Based Staffing Tool (ABST) to develop and routinely update the facility’s posted staffing plan was substantiated.