Inspection Report
Complaint Investigation
Deficiencies: 32
Apr 1, 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, medication management, resident care, records, staffing standards, and physical plant safety. Several complaint investigations found no deficiencies, while others cited Class 3 violations. No higher severity levels than Class 4 were noted.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 deficiencies related to training, medication, records, and emergency planning.
Severity Breakdown
Class 3: 33
Unclassified: 3
1: 1
Deficiencies (32)
| Description | Severity |
|---|---|
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0170 — RESIDENT REFUND POLICY | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0086 — TRAINING - ADRD | Class 3 |
| A0122 — FISCAL - PERSONAL EFFECTS | Class 3 |
| A0123 — FISCAL - RESIDENT TRUST FUNDS & ADV PAYMENTS | Class 3 |
| A0125 — FISCAL - SURETY BONDS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | 1 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
Report Facts
Inspections on page: 70
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 1, 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 no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint investigations resulted in cited deficiencies, while many monitoring and complaint inspections found no deficiencies.
Report Facts
Inspections on page: 90
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