Inspection Report
Routine
Deficiencies: 0
Oct 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had several inspections with no deficiencies, some with deficiencies cited, and others with deficiencies corrected. The most recent inspections include deficiencies cited and corrected statuses.
Report Facts
Inspections on page: 14
Inspection Report
Deficiencies: 14
Jul 31, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 to 2025 including complaint investigations, standard inspections, and initial licensure with deficiency history.
Findings
Across all inspections, several Class 3 and Class 4 deficiencies were cited primarily related to admissions, medication records, staffing standards, training, background screening, and emergency plan approval. Some inspections had no deficiencies noted.
Complaint Details
Complaint investigations occurred on 2024-12-14, 2023-05-22, 2020-06-29, and 2016-09-06 with no deficiencies cited.
Severity Breakdown
Class 3: 13
Class 4: 2
Deficiencies (14)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Report Facts
Inspections on page: 18
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