Inspection Report
Complaint Investigation
Deficiencies: 27
Apr 16, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 including complaint and standard inspections with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had several Class 3 and Class 4 deficiencies primarily related to resident care, staffing standards, training, medication management, and physical plant safety. Many complaint investigations found no deficiencies, while some standard inspections cited multiple Class 3 and Class 4 violations.
Complaint Details
Multiple complaint investigations were conducted between 2014 and 2025, with most resulting in no deficiencies except for one complaint inspection on 2025-04-16 citing a Class 3 deficiency related to resident care elopement standards.
Severity Breakdown
Class 3: 26
Class 4: 3
Deficiencies (27)
| Description | Severity |
|---|---|
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
Report Facts
Inspections on page: 30
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 16, 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, deficiencies cited, and deficiencies corrected. The most recent inspection in 2025 cited deficiencies.
Report Facts
Inspections on page: 30
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