Deficiencies per Year
80
60
40
20
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Standard
Deficiencies: 0
Aug 14, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The inspections over the years show a mix of no deficiencies, deficiencies cited, and deficiencies corrected across complaint, standard, change of ownership, monitor, and expansion inspections.
Report Facts
Inspections on page: 57
Inspection Report
Routine
Deficiencies: 50
Apr 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple deficiencies across inspections primarily classified as Class 3 and Class 4, covering areas such as resident care, staffing, training, records, and emergency planning. Deficiencies span complaint and standard inspections with no indication of immediate severe harm.
Complaint Details
Multiple complaint investigations are included, with findings related to resident care supervision, infection control, records, and medication storage. Some complaint inspections found no deficiencies.
Severity Breakdown
Class 3: 44
Class 4: 13
2: 4
Deficiencies (50)
| Description | Severity |
|---|---|
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | — |
| A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 4 |
| A0168 — RESIDENT REFUND POLICY | Class 4 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | — |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | — |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | — |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 4 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 4 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 4 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 4 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 4 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 4 |
| A0167 — RESIDENT CONTRACTS | Class 4 |
Report Facts
Inspections on page: 70
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