Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 28, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 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. Several complaint and monitor inspections cited deficiencies, while many others found no deficiencies.
Report Facts
Inspections on page: 26
Inspection Report
Complaint Investigation
Deficiencies: 19
Sep 2, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2015 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple Class 3 and Class 4 deficiencies across complaint, standard, and monitoring inspections, primarily related to resident care, staffing, training, background screening, and food service standards. Some inspections showed no deficiencies.
Complaint Details
Multiple complaint investigations occurred including on 2025-09-02, 2024-07-10, 2022-02-02, 2016-04-28, 2016-08-03, and 2016-10-04 with several Class 3 deficiencies cited related to resident care, admissions criteria, and food service.
Severity Breakdown
Class 3: 17
Class 4: 3
Unclassified: 1
Deficiencies (19)
| Description | Severity |
|---|---|
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
| AZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| AZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Report Facts
Inspections on page: 29
Plan of correction due dates: 17
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