Inspection Report
Complaint Investigation
Deficiencies: 22
Mar 5, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 including complaint, standard, monitor, and initial licensure types with deficiency history.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to staff training, resident care standards, medication management, records maintenance, and risk management. Several complaint investigations and monitoring visits found no deficiencies, while some older inspections cited deficiencies with varying severity.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 deficiencies related to staff training, resident supervision, and risk management.
Severity Breakdown
Class 3: 20
1: 1
2: 2
Deficiencies (22)
| Description | Severity |
|---|---|
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ000 | — |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | 2 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 1 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | 2 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Report Facts
Inspections on page: 38
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 5, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected statuses, with no detailed deficiency descriptions or severity labels provided on the page.
Report Facts
Inspections on page: 44
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