Deficiencies per Year
8
6
4
2
0
Moderate
Low
Unclassified
Inspection Report
Monitor
Deficiencies: 0
Feb 5, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, cited deficiencies, and corrected deficiencies, with monitoring and complaint investigations predominating. Deficiencies were cited intermittently over the years with some corrected in follow-up inspections.
Report Facts
Inspections on page: 47
Inspection Report
Routine
Deficiencies: 5
Nov 18, 2024
Visit Reason
Deficiencies related to staffing standards, staff training including HIV/AIDS and DNRO orders, and Alzheimer’s disease/dementia training.
Findings
Deficiencies related to staffing standards, staff training including HIV/AIDS and DNRO orders, and Alzheimer’s disease/dementia training.
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 A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
Inspection Report
Routine
Deficiencies: 4
Feb 21, 2023
Visit Reason
Deficiencies involving admissions continued residency, staff in-service training, HIV/AIDS training, and emergency environmental control.
Findings
Deficiencies involving admissions continued residency, staff in-service training, HIV/AIDS training, and emergency environmental control.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Complaint
Deficiencies: 3
Aug 13, 2021
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Deficiencies related to resident care supervision, records alteration penalties, and risk management & QA adverse incident reporting.
Findings
Deficiencies related to resident care supervision, records alteration penalties, and risk management & QA adverse incident reporting.
Severity Breakdown
2: 2
Class 3: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | 2 |
| Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Inspection Report
Standard
Deficiencies: 2
Sep 24, 2019
Visit Reason
Deficiencies related to background screening clearinghouse and prohibited offenses.
Findings
Deficiencies related to background screening clearinghouse and prohibited offenses.
Severity Breakdown
Class 4: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
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