Inspection Report
Complaint Investigation
Deficiencies: 27
May 12, 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 data.
Findings
Across multiple inspections, the facility had several Class 3 and Class 4 deficiencies primarily related to admissions, resident care, medication management, training, background screening, and risk management. Many complaint investigations found no deficiencies, but some resulted in citations with Class 3 and Class 4 severity.
Complaint Details
Multiple complaint investigations are documented, with several resulting in no deficiencies and others citing Class 3 and Class 4 deficiencies related to admissions, resident care, medication, and background screening.
Severity Breakdown
Class 3: 28
Class 4: 3
2: 1
Deficiencies (27)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0168 — RESIDENT REFUND POLICY | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| AE204 — ECC - ADMISSIONS & CONTINUED RESIDENCY | Class 3 |
| AE208 — ECC - RECORDS | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
Report Facts
Inspections on page: 56
Inspection Report
Complaint Investigation
Deficiencies: 0
May 12, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections primarily for complaints, with a mix of deficiency citations, corrections, and no deficiencies found across the years. The most recent inspection in May 2025 cited deficiencies.
Report Facts
Inspections on page: 74
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