24 Reports
Inspection Report — Apr 1, 2025
Complaint Investigation State
Date: Apr 1, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections from 2012 to 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint investigations resulted in cited deficiencies, while many monitoring and complaint inspections found no deficiencies.
Report Facts
Inspections on page: 90
Inspection Report — Apr 1, 2025
Complaint State
Date: Apr 1, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report — Dec 5, 2024
Routine State
Date: Dec 5, 2024
Visit Reason
No deficiencies noted during this standard inspection.
Findings
No deficiencies noted during this standard inspection.
Inspection Report — Jul 13, 2023
Complaint State
Date: Jul 13, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report — May 17, 2023
Complaint State
Date: May 17, 2023
Visit Reason
One Class 3 deficiency related to RISK MGMT & QA was cited.
Findings
One Class 3 deficiency related to RISK MGMT & QA was cited.
Citations (1)
Tag A0165 — RISK MGMT & QA
Inspection Report — Mar 29, 2023
Routine State
Date: Mar 29, 2023
Visit Reason
Multiple Class 3 deficiencies related to licensure, resident care, medication, staffing, training, records, and physical plant were cited.
Findings
Multiple Class 3 deficiencies related to licensure, resident care, medication, staffing, training, records, and physical plant were cited.
Citations (19)
Tag A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag A0161 — RECORDS - STAFF
Tag A0162 — RECORDS - RESIDENT
Tag A0170 — RESIDENT REFUND POLICY
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report — Jan 19, 2023
Complaint State
Date: Jan 19, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report — Nov 30, 2022
Complaint State
Date: Nov 30, 2022
Visit Reason
One Class 3 deficiency related to TRAINING - STAFF IN-SERVICE was cited.
Findings
One Class 3 deficiency related to TRAINING - STAFF IN-SERVICE was cited.
Citations (1)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Inspection Report — Jul 19, 2022
Complaint State
Date: Jul 19, 2022
Visit Reason
Multiple Class 3 deficiencies related to training, records, emergency plan, and background screening were cited.
Findings
Multiple Class 3 deficiencies related to training, records, emergency plan, and background screening were cited.
Citations (7)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0162 — RECORDS - RESIDENT
Tag A0181 — EMERGENCY PLAN APPROVAL
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report — Apr 13, 2022
Complaint State
Date: Apr 13, 2022
Visit Reason
One Class 3 deficiency related to MEDICATION - RECORDS was cited.
Findings
One Class 3 deficiency related to MEDICATION - RECORDS was cited.
Citations (1)
Tag A0054 — MEDICATION - RECORDS
Inspection Report — Oct 12, 2021
Routine State
Date: Oct 12, 2021
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, and records were cited.
Findings
Multiple Class 3 deficiencies related to staffing, training, and records were cited.
Citations (7)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Tag A0086 — TRAINING - ADRD
Tag A0160 — RECORDS - FACILITY
Tag A0161 — RECORDS - STAFF
Inspection Report — Aug 15, 2019
Complaint State
Date: Aug 15, 2019
Visit Reason
Two Class 3 deficiencies related to medication records and labeling/orders were cited.
Findings
Two Class 3 deficiencies related to medication records and labeling/orders were cited.
Citations (2)
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Inspection Report — Jun 28, 2019
Complaint State
Date: Jun 28, 2019
Visit Reason
Three Class 3 deficiencies related to resident care supervision, staffing standards, and physical plant were cited.
Findings
Three Class 3 deficiencies related to resident care supervision, staffing standards, and physical plant were cited.
Citations (3)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Inspection Report — Dec 3, 2018
Complaint State
Date: Dec 3, 2018
Visit Reason
One Class 3 deficiency related to physical plant safe living environment was cited.
Findings
One Class 3 deficiency related to physical plant safe living environment was cited.
Citations (1)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Inspection Report — Oct 5, 2018
Complaint State
Date: Oct 5, 2018
Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, and risk management were cited.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication, staffing, training, and risk management were cited.
Citations (9)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0086 — TRAINING - ADRD
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Inspection Report — Jan 22, 2018
State
Date: Jan 22, 2018
Visit Reason
Two Class 3 deficiencies related to staffing standards and resident care standards were cited.
Findings
Two Class 3 deficiencies related to staffing standards and resident care standards were cited.
Citations (2)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Inspection Report — Jun 27, 2017
Routine State
Date: Jun 27, 2017
Visit Reason
Two Class 3 deficiencies related to resident records and resident care standards were cited.
Findings
Two Class 3 deficiencies related to resident records and resident care standards were cited.
Citations (2)
Tag A0162 — RECORDS - RESIDENT
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Inspection Report — Dec 6, 2016
Complaint State
Date: Dec 6, 2016
Visit Reason
One Class 3 deficiency related to risk management and quality assurance was cited.
Findings
One Class 3 deficiency related to risk management and quality assurance was cited.
Citations (1)
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT
Inspection Report — Jun 26, 2015
Routine State
Date: Jun 26, 2015
Visit Reason
Three Class 3 deficiencies and one Class 4 deficiency related to staffing, physical plant, and background screening were cited.
Findings
Three Class 3 deficiencies and one Class 4 deficiency related to staffing, physical plant, and background screening were cited.
Citations (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Inspection Report — May 7, 2015
Complaint State
Date: May 7, 2015
Visit Reason
One Class 3 deficiency related to food service dietary standards was cited.
Findings
One Class 3 deficiency related to food service dietary standards was cited.
Citations (1)
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Inspection Report — Oct 13, 2014
Complaint State
Date: Oct 13, 2014
Visit Reason
One Class 3 deficiency related to medication labeling and orders was cited.
Findings
One Class 3 deficiency related to medication labeling and orders was cited.
Citations (1)
Tag A0056 — MEDICATION - LABELING AND ORDERS
Inspection Report — Jul 1, 2014
Complaint State
Date: Jul 1, 2014
Visit Reason
Multiple Class 3 deficiencies related to admissions, medication, and records were cited.
Findings
Multiple Class 3 deficiencies related to admissions, medication, and records were cited.
Citations (4)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0054 — MEDICATION - RECORDS
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0160 — RECORDS - FACILITY
Inspection Report — Oct 24, 2013
Complaint State
Date: Oct 24, 2013
Visit Reason
Two Class 3 deficiencies related to resident rights and DNROs were cited.
Findings
Two Class 3 deficiencies related to resident rights and DNROs were cited.
Citations (2)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS)
Inspection Report — Jul 30, 2013
Routine State
Date: Jul 30, 2013
Visit Reason
Two Class 3 deficiencies related to admissions and staffing were cited.
Findings
Two Class 3 deficiencies related to admissions and staffing were cited.
Citations (2)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0078 — STAFFING STANDARDS - STAFF
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