The most recent inspection on January 28, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to medication assistance, staff training, staffing standards, and background screening compliance. Complaint investigations were not noted in the available reports, and no fines or enforcement actions were listed. Prior reports cited issues with resident care supervision and training in areas such as HIV/AIDS and dementia, but these were addressed over time. The trend suggests improvement, with the facility resolving earlier deficiencies and demonstrating compliance in the latest inspection.
Deficiencies (last 4 years)
Deficiencies (over 4 years)6.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections over more than a decade, with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across complaint, standard, monitor, and change of ownership inspections.
Deficiencies related to medication assistance, labeling, HIV/AIDS training, DNRO training, and Alzheimer’s disease/dementia training were identified, all classified as Class 3.
Findings
Deficiencies related to medication assistance, labeling, HIV/AIDS training, DNRO training, and Alzheimer’s disease/dementia training were identified, all classified as Class 3.
Severity Breakdown
Class 3: 5
Deficiencies (5)
Description
Severity
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Complaint inspection revealed deficiencies in resident care supervision, elopement standards, staffing administrators, staff in-service training, and background screening with severities ranging from Class 3 to Unclassified.
Findings
Complaint inspection revealed deficiencies in resident care supervision, elopement standards, staffing administrators, staff in-service training, and background screening with severities ranging from Class 3 to Unclassified.
Severity Breakdown
Class 3: 12: 21: 1Unclassified: 2
Deficiencies (6)
Description
Severity
Tag A0025 — RESIDENT CARE - SUPERVISION
1
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
2
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
2
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Unclassified
Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
Routine inspection identified multiple Class 3 deficiencies related to staffing, training, records, and background screening, as well as several unclassified deficiencies related to background screening compliance.
Findings
Routine inspection identified multiple Class 3 deficiencies related to staffing, training, records, and background screening, as well as several unclassified deficiencies related to background screening compliance.
Severity Breakdown
Class 3: 8Unclassified: 4
Deficiencies (12)
Description
Severity
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0082 — TRAINING - HIV/AIDS
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0085 — TRAINING - NUTRITION & FOOD SERVICE
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0160 — RECORDS - FACILITY
Class 3
Tag A0161 — RECORDS - STAFF
Class 3
Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE
Unclassified
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Unclassified
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Unclassified
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Routine inspection found Class 3 deficiencies related to staffing standards, training for medication assistance, nutrition and food service, and visitation policies.
Findings
Routine inspection found Class 3 deficiencies related to staffing standards, training for medication assistance, nutrition and food service, and visitation policies.
Severity Breakdown
Class 3: 4
Deficiencies (4)
Description
Severity
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0085 — TRAINING - NUTRITION & FOOD SERVICE
Class 3
Tag A1300 — VISITATION
Class 3
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