Inspection Report
Complaint Investigation
Deficiencies: 10
Aug 13, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 including complaint investigations, monitoring, standard, and initial licensure inspections with deficiency history.
Findings
Across multiple inspections, the facility had several Class 3 and one Class 4 deficiencies primarily related to resident care supervision, food service standards, physical plant safety, medication assistance, and staff records. Some deficiencies were corrected by specified dates.
Complaint Details
Multiple complaint investigations occurred on 2025-08-13, 2023-08-23, 2022-08-17, 2019-12-06, and 2019-07-31 with deficiencies cited in resident care supervision, food service, physical plant safety, staff records, and elopement standards.
Severity Breakdown
Class 3: 9
Class 4: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0095 — FOOD SERVICE - CONTRACTED FOOD SERVICE | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0161 — RECORDS - STAFF | Class 4 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
Report Facts
Inspections on page: 15
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 13, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone various inspections including initial licensure, complaint investigations, standard surveys, and monitoring visits. Deficiencies were cited in several complaint and standard inspections, with some deficiencies corrected in follow-up visits, and some inspections reporting no deficiencies.
Report Facts
Inspections on page: 14
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