Inspection Report
Complaint Investigation
Deficiencies: 21
Sep 25, 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 numerous Class 3 deficiencies primarily related to training, records maintenance, medication management, staffing standards, and resident care procedures. One Class 4 deficiency was cited for background screening related to prohibited offenses. Several inspections reported no deficiencies.
Complaint Details
Multiple complaint investigations are included, with several resulting in Class 3 deficiencies related to training, records, medication, and staffing. Some complaint inspections found no deficiencies.
Severity Breakdown
Class 3: 20
Class 4: 1
Deficiencies (21)
| Description | Severity |
|---|---|
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0027 — RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
Report Facts
Inspections on page: 53
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 25, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections from 2012 to 2025, the facility had a mix of deficiency citations, corrections, and no deficiencies found. Several complaint and monitoring inspections cited deficiencies, while many others found no deficiencies or noted corrections.
Report Facts
Inspections on page: 62
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