Inspection Report
Monitor
Deficiencies: 32
Aug 26, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
The facility has multiple deficiencies across inspections ranging from record-keeping, emergency management, staffing standards, and medication management. Deficiencies include several Class 3 and Class 4 severity levels, with some corrected in follow-up inspections.
Complaint Details
Multiple complaint investigations noted, including complaint inspections dated 7/8/2020, 3/17/2020, 9/27/2016, 12/2/2015, 10/1/2015, 8/5/2015, 1/17/2014, and 11/14/2012 with various deficiencies and no deficiencies noted in some.
Severity Breakdown
Class 3: 27
Class 4: 2
Unclassified: 3
2: 4
Deficiencies (32)
| Description | Severity |
|---|---|
| A0160 — RECORDS - FACILITY | Unclassified |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0182 — EMERGENCY MGMT - PLAN IMPLEMENTATION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| AL243 — LMH - TRAINING | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0189 — ADCCS IN ALF | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | 2 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | 2 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | 2 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
Report Facts
Inspections on page: 44
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
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