Deficiencies per Year
28
21
14
7
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 28
Aug 27, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 including complaint investigations, standard surveys, initial licensure, and monitoring visits with deficiency history.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to medication assistance, staffing standards, training, records, and background screening. Several complaint investigations found no deficiencies. Deficiencies were corrected by specified correction dates.
Complaint Details
Multiple complaint investigations were conducted on 8/27/2025, 2/3/2025, 5/17/2024, 1/12/2022, 8/14/2020, 11/15/2018, 7/9/2018, 11/9/2017, 3/9/2017, 11/23/2015, 6/25/2015, 10/27/2014, 7/27/2012, 5/11/2018, and 3/9/2017 with no deficiencies cited in most cases.
Severity Breakdown
Class 3: 26
Class 4: 2
Unclassified: 2
2: 1
Deficiencies (28)
| Description | Severity |
|---|---|
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
Report Facts
Inspections on page: 44
Deficiency correction dates: 22
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 27, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The inspections over the years show a mix of no deficiencies, deficiencies cited, and deficiencies corrected across complaint and standard inspections, with recent inspections in 2025 showing both cited and no deficiencies.
Deficiencies (1)
| Description |
|---|
| Deficiencies Cited |
Report Facts
Inspections on page: 44
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