Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous complaint investigations and other inspections over several years, with many inspections citing deficiencies, some corrected, and several with no deficiencies found.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 31
Inspection Report
Complaint Investigation
Deficiencies: 24
Sep 17, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 including complaint and standard inspections with deficiency history.
Findings
Across multiple inspections, the facility had several Class 3 and Class 4 deficiencies primarily related to resident care, medication management, training, background screening, and record keeping. Many complaint investigations found no deficiencies, but some resulted in citations requiring correction.
Complaint Details
Multiple complaint investigations conducted between 2019 and 2025 with several resulting in no deficiencies and some resulting in Class 3 and Class 4 citations related to resident care, training, and background screening.
Severity Breakdown
Class 3: 22
Class 4: 2
Unclassified: 1
Deficiencies (24)
| Description | Severity |
|---|---|
| A0165 — RISK MGMT & QA | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0027 — RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0123 — FISCAL - RESIDENT TRUST FUNDS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 29
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