Inspection Report
Complaint Investigation
Deficiencies: 43
Sep 30, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2016 to 2025 including complaint and standard surveys with deficiency history and enforcement data.
Findings
The facility has multiple deficiencies cited across complaint and standard inspections over several years, primarily Class 3 and Class 4 severity levels, with some inspections showing no deficiencies. Deficiencies cover areas such as resident care, medication assistance, staffing, records, and admissions.
Complaint Details
Multiple complaint investigations are present, with deficiencies cited primarily under complaint inspections from 2018 through 2025, including issues related to resident care, admissions, and risk management.
Severity Breakdown
Class 3: 38
Class 4: 4
1: 2
2: 2
Unclassified: 2
Deficiencies (43)
| Description | Severity |
|---|---|
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | 2 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 1 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | 1 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 4 |
| A0161 — RECORDS - STAFF | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0009 — ADMISSIONS - ADMISSION PACKAGE | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
Report Facts
Inspections on page: 44
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
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