Inspection Report
Complaint Investigation
Deficiencies: 7
Nov 1, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2024 including complaint and standard inspections with deficiency history.
Findings
Across all inspections, several Class 3 deficiencies related to staff training and emergency plan approval were cited, along with unclassified deficiencies related to background screening compliance. Some complaint inspections found no deficiencies.
Complaint Details
Complaint inspections conducted on 2024-11-01 and 2021-12-14 found no deficiencies.
Severity Breakdown
Class 3: 5
Unclassified: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
Report Facts
Inspections on page: 6
Inspection Report
Complaint Investigation
Deficiencies: 8
Nov 1, 2024
Visit Reason
State-compiled facility profile showing 8 inspections from 2019-07 to 2024-11 with deficiency history and inspection statuses.
Findings
Across multiple inspections, the facility had several deficiencies cited and later corrected, with some complaint investigations resulting in no deficiencies.
Complaint Details
Complaint investigations on 2021-12-14 and 2024-11-01 resulted in no deficiencies.
Deficiencies (8)
| Description |
|---|
| Initial Licensure — Deficiencies Cited on 2019-07-15 |
| Initial Licensure — Deficiencies Corrected on 2019-08-01 |
| Standard — Deficiencies Cited on 2021-07-08 |
| Standard — Deficiencies Corrected on 2021-09-10 |
| Complaint — No Deficiencies on 2021-12-14 |
| Standard — Deficiencies Cited on 2024-03-12 |
| Standard — Deficiencies Corrected on 2024-05-24 |
| Complaint — No Deficiencies on 2024-11-01 |
Report Facts
Inspections on page: 8
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