Deficiencies per Year
12
9
6
3
0
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 1
May 18, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2014 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections over the years with a mix of deficiencies cited, corrected, and some inspections with no deficiencies noted. The most recent inspections in 2025 show deficiencies cited followed by corrections.
Deficiencies (1)
| Description |
|---|
| Deficiencies cited in multiple inspections including initial licensure and standard inspections from 2014 through 2025 |
Report Facts
Inspections on page: 16
Inspection Report
Routine
Deficiencies: 2
Mar 17, 2025
Visit Reason
Two Class 3 deficiencies related to medication records and labeling/orders.
Findings
Two Class 3 deficiencies related to medication records and labeling/orders.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
Inspection Report
Routine
Deficiencies: 1
Nov 22, 2022
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag None — None | None |
Inspection Report
Routine
Deficiencies: 5
Feb 5, 2021
Visit Reason
Multiple Class 3 deficiencies related to staffing, training, records, and background screening compliance.
Findings
Multiple Class 3 deficiencies related to staffing, training, records, and background screening compliance.
Severity Breakdown
Class 3: 4
Unclassified: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
Inspection Report
Routine
Deficiencies: 2
Oct 1, 2020
Visit Reason
Two deficiencies: one Class 3 for training on Do Not Resuscitate Orders and one severity '2' for emergency environmental control.
Findings
Two deficiencies: one Class 3 for training on Do Not Resuscitate Orders and one severity '2' for emergency environmental control.
Severity Breakdown
Class 3: 1
2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | 2 |
Inspection Report
Routine
Deficiencies: 10
Mar 6, 2018
Visit Reason
Numerous Class 3 and Class 4 deficiencies covering admissions, medication assistance, staffing, training, records, emergency plan, and background screening.
Findings
Numerous Class 3 and Class 4 deficiencies covering admissions, medication assistance, staffing, training, records, emergency plan, and background screening.
Severity Breakdown
Class 3: 8
Class 4: 2
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Routine
Deficiencies: 6
Mar 25, 2016
Visit Reason
Class 3 and Class 4 deficiencies related to admissions, medication, staffing, training, and background screening.
Findings
Class 3 and Class 4 deficiencies related to admissions, medication, staffing, training, and background screening.
Severity Breakdown
Class 3: 5
Class 4: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Deficiencies: 3
Mar 17, 2014
Visit Reason
Class 3 deficiencies related to staff training and medication assistance.
Findings
Class 3 deficiencies related to staff training and medication assistance.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
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