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
Deficiencies: 21
Mar 17, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2014 to 2025 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility received multiple Class 3 and Class 4 deficiencies primarily related to medication management, staffing standards, training, background screening, and emergency planning. No deficiencies were noted in the most recent 2022 inspection.
Severity Breakdown
Class 3: 19
Class 4: 3
Unclassified: 1
2: 1
Deficiencies (21)
| Description | Severity |
|---|---|
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | 2 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
Report Facts
Inspections on page: 6
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