Inspection Report
Routine
Deficiencies: 24
Aug 18, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had multiple complaint and standard inspections with several Class 3 and one Class 4 deficiencies primarily related to staff training, medication assistance, physical plant safety, and records. Many inspections found no deficiencies.
Complaint Details
Multiple complaint investigations are present from 2014 through 2025, with several resulting in Class 3 and Class 4 deficiencies related to staff training, medication assistance, physical plant safety, and records.
Severity Breakdown
Class 3: 23
Class 4: 1
Deficiencies (24)
| Description | Severity |
|---|---|
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0166 — RISK MGMT & QA; REPORTING REQS. | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | 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 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
Report Facts
Inspections on page: 38
Inspection Report
Deficiencies: 0
Aug 18, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history.
Findings
Across the inspections from 2013 to 2025, the facility had numerous complaint and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. The most recent inspections show no deficiencies.
Report Facts
Inspections on page: 44
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