Deficiencies per Year
20
15
10
5
0
Moderate
Low
Unclassified
Inspection Report
Standard
Deficiencies: 0
Aug 25, 2025
Visit Reason
State-compiled facility profile showing 11 inspections from 2021-06 to 2025-08 with deficiency history.
Findings
Across multiple inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. The most recent inspection cited deficiencies.
Report Facts
Inspections on page: 11
Inspection Report
Deficiencies: 17
Aug 25, 2025
Visit Reason
State-compiled facility inspection summary showing multiple inspections from 2021 to 2025 including standard, complaint, expansion, and initial licensure types with deficiency and enforcement data.
Findings
Across all inspections, multiple Class 3 deficiencies were cited primarily related to admissions, resident care, infection control, staffing, training, medication management, and emergency management planning. One Class 4 deficiency was cited for physical restraints during a complaint inspection.
Complaint Details
Complaint inspections on 2024-04-18, 2022-08-02, and 2022-03-03 with deficiencies including admissions, resident care, physical restraints, and emergency management planning.
Severity Breakdown
Class 3: 14
Class 4: 1
Deficiencies (17)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | — |
| ZZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0033 — PHYSICAL RESTRAINTS | Class 4 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| CZ000 — INITIAL COMMENTS | — |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Report Facts
Inspections on page: 13
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