Deficiencies per Year
16
12
8
4
0
Moderate
Low
Unclassified
Inspection Report
Complaint
Deficiencies: 0
Sep 30, 2025
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 30, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections primarily for complaints, with a mix of deficiencies cited, corrected, and some inspections showing no deficiencies over the years.
Report Facts
Inspections on page: 52
Inspection Report
Complaint
Deficiencies: 2
Apr 8, 2025
Visit Reason
Two Class 2 deficiencies related to resident care rights and DNROs.
Findings
Two Class 2 deficiencies related to resident care rights and DNROs.
Severity Breakdown
2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | 2 |
Inspection Report
Routine
Deficiencies: 1
Sep 17, 2024
Visit Reason
One Class 3 deficiency related to medication assistance with self-administration.
Findings
One Class 3 deficiency related to medication assistance with self-administration.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Oct 18, 2023
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Complaint
Deficiencies: 2
Oct 3, 2023
Visit Reason
Two Class 1 deficiencies related to resident care rights and DNROs.
Findings
Two Class 1 deficiencies related to resident care rights and DNROs.
Severity Breakdown
1: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 1 |
| Tag A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | 1 |
Inspection Report
Complaint
Deficiencies: 0
Aug 17, 2023
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Complaint
Deficiencies: 0
Aug 1, 2023
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Routine
Deficiencies: 2
Mar 3, 2023
Visit Reason
Two unclassified deficiencies related to background screening.
Findings
Two unclassified deficiencies related to background screening.
Severity Breakdown
Unclassified: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
Inspection Report
Complaint
Deficiencies: 0
Sep 7, 2022
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Routine
Deficiencies: 13
Jun 23, 2022
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to licensure, resident care, medication assistance, staffing, training, records, physical plant, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to licensure, resident care, medication assistance, staffing, training, records, physical plant, and background screening.
Severity Breakdown
Class 3: 10
Class 4: 3
Deficiencies (13)
| Description | Severity |
|---|---|
| Tag A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 4 |
| Tag A0161 — RECORDS - STAFF | Class 4 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag AN278 — LNS - RECORDS | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Complaint
Deficiencies: 4
Apr 12, 2022
Visit Reason
Four Class 3 deficiencies related to admissions health assessment, resident care supervision, elopement standards, and risk management.
Findings
Four Class 3 deficiencies related to admissions health assessment, resident care supervision, elopement standards, and risk management.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0165 — RISK MGMT & QA | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Feb 2, 2021
Visit Reason
Two Class 3 deficiencies related to admissions criteria and health assessment.
Findings
Two Class 3 deficiencies related to admissions criteria and health assessment.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
Inspection Report
Routine
Deficiencies: 6
Dec 10, 2020
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, food service, and background screening.
Findings
Multiple Class 3 deficiencies related to staffing, training, food service, and background screening.
Severity Breakdown
Class 3: 5
Unclassified: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
Inspection Report
Complaint
Deficiencies: 1
Jun 30, 2020
Visit Reason
One Class 3 deficiency related to staffing standards levels.
Findings
One Class 3 deficiency related to staffing standards levels.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Sep 26, 2018
Visit Reason
Two Class 3 deficiencies related to resident care supervision and medication assistance.
Findings
Two Class 3 deficiencies related to resident care supervision and medication assistance.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Jul 17, 2018
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Routine
Deficiencies: 1
Jul 17, 2018
Visit Reason
One Class 3 deficiency related to emergency plan approval.
Findings
One Class 3 deficiency related to emergency plan approval.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
Inspection Report
Monitor
Deficiencies: 0
May 16, 2017
Visit Reason
No deficiencies noted in this monitor inspection.
Findings
No deficiencies noted in this monitor inspection.
Inspection Report
Complaint
Deficiencies: 1
May 16, 2017
Visit Reason
One Class 3 deficiency related to admissions admission package.
Findings
One Class 3 deficiency related to admissions admission package.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0009 — ADMISSIONS - ADMISSION PACKAGE | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Mar 6, 2017
Visit Reason
No deficiencies noted in this complaint inspection.
Findings
No deficiencies noted in this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Jan 31, 2017
Visit Reason
One Class 3 deficiency related to medication records.
Findings
One Class 3 deficiency related to medication records.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
Inspection Report
Initial Licensure
Deficiencies: 0
Aug 31, 2016
Visit Reason
No deficiencies noted in this initial licensure inspection.
Findings
No deficiencies noted in this initial licensure inspection.
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