Deficiencies per Year
8
6
4
2
0
Moderate
Low
Unclassified
Inspection Report
Monitor
Deficiencies: 3
Aug 26, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, standard, and monitor types with a mix of deficiencies cited, corrected, and no deficiencies found across the years. The most recent inspections in 2025 show deficiencies cited and corrected.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 38
Inspection Report
Deficiencies: 1
Aug 26, 2025
Visit Reason
One unclassified deficiency related to facility records noted.
Findings
One unclassified deficiency related to facility records noted.
Severity Breakdown
Unclassified: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0160 — RECORDS - FACILITY | Unclassified |
Inspection Report
Deficiencies: 2
May 31, 2025
Visit Reason
Two Class 3 deficiencies related to records and emergency management.
Findings
Two Class 3 deficiencies related to records and emergency management.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0182 — EMERGENCY MGMT - PLAN IMPLEMENTATION | Class 3 |
Inspection Report
Deficiencies: 0
Dec 6, 2023
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Deficiencies: 4
Jul 12, 2021
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Four deficiencies including staffing, emergency environmental control, background screening, and emergency management planning.
Findings
Four deficiencies including staffing, emergency environmental control, background screening, and emergency management planning.
Severity Breakdown
Class 3: 2
Unclassified: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
Inspection Report
Deficiencies: 0
Sep 21, 2020
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 8, 2020
Visit Reason
One Class 3 deficiency related to resident care rights and facility procedures.
Findings
One Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Deficiencies: 2
Dec 7, 2018
Visit Reason
Two deficiencies: Class 3 training and Class 4 background screening compliance.
Findings
Two deficiencies: Class 3 training and Class 4 background screening compliance.
Severity Breakdown
Class 3: 1
Class 4: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Deficiencies: 2
Mar 13, 2017
Visit Reason
Two Class 3 deficiencies related to resident care social activities and medication OTC products.
Findings
Two Class 3 deficiencies related to resident care social activities and medication OTC products.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
Inspection Report
Deficiencies: 5
Sep 27, 2016
Visit Reason
Five Class 3 deficiencies related to staffing, training, and records.
Findings
Five Class 3 deficiencies related to staffing, training, and records.
Severity Breakdown
Class 3: 5
Deficiencies (5)
| 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 A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
Inspection Report
Complaint Investigation
Deficiencies: 4
Dec 2, 2015
Visit Reason
Four Class 3 deficiencies and one Class 4 related to medication, training, records, and background screening.
Findings
Four Class 3 deficiencies and one Class 4 related to medication, training, records, and background screening.
Severity Breakdown
Class 3: 3
Class 4: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0189 — ADCCS IN ALF | Class 3 |
| Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Complaint Investigation
Deficiencies: 6
Oct 1, 2015
Visit Reason
Six deficiencies with mixed severity (Class 3 and 2) related to admissions, resident care, staffing, and records.
Findings
Six deficiencies with mixed severity (Class 3 and 2) related to admissions, resident care, staffing, and records.
Severity Breakdown
Class 3: 2
2: 4
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES | 2 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | 2 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | 2 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 5, 2015
Visit Reason
One Class 3 deficiency related to resident care rights and facility procedures.
Findings
One Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Deficiencies: 4
Jan 7, 2015
Visit Reason
Four Class 3 deficiencies related to admissions, resident care, training, and records.
Findings
Four Class 3 deficiencies related to admissions, resident care, training, and records.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Jan 17, 2014
Visit Reason
Two deficiencies: Class 3 records staff and Class 4 background screening prohibited offenses.
Findings
Two deficiencies: Class 3 records staff and Class 4 background screening prohibited offenses.
Severity Breakdown
Class 3: 1
Class 4: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Deficiencies: 6
Mar 27, 2013
Visit Reason
Seven Class 3 deficiencies related to staffing standards, training, and LMH training.
Findings
Seven Class 3 deficiencies related to staffing standards, training, and LMH training.
Severity Breakdown
Class 3: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag AL243 — LMH - TRAINING | Class 3 |
Inspection Report
Deficiencies: 3
Sep 5, 2012
Visit Reason
Three Class 3 deficiencies related to admissions, medication records, and medication labeling.
Findings
Three Class 3 deficiencies related to admissions, medication records, and medication labeling.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
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