Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 18
Oct 9, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple complaint investigations over the years with consistent Class 3 deficiencies related to admissions, resident care, staffing, medication assistance, and training. Some inspections showed no deficiencies, and monitoring visits were also conducted.
Complaint Details
Multiple complaint investigations are documented, including those dated 2025-10-09, 2024-10-31, 2022-07-12, 2021-02-04, 2020-01-03, 2019-09-19, and earlier, with deficiencies cited primarily in resident care, admissions, staffing, and medication assistance.
Severity Breakdown
Class 3: 15
Class 4: 2
1: 2
Deficiencies (18)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | — |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | — |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | 1 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
Report Facts
Inspections on page: 38
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 9, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, monitoring, standard, and complaint investigations with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.
Report Facts
Inspections on page: 29
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