Inspection Report
Standard
Deficiencies: 26
Aug 27, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement actions.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to resident care, training, medication management, and record keeping. Several complaint investigations identified deficiencies, while recent standard inspections showed no deficiencies.
Complaint Details
Multiple complaint investigations identified deficiencies related to resident care, training, medication management, and records from 2012 through 2025.
Severity Breakdown
Class 3: 27
2: 1
Unclassified: 1
Deficiencies (26)
| Description | Severity |
|---|---|
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
Report Facts
Inspections on page: 44
Plan of correction counts: 27
Inspection Report
Deficiencies: 0
Aug 27, 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 including complaint and monitoring types, with a mix of deficiencies cited, corrected, and no deficiencies found across the inspections.
Report Facts
Inspections on page: 56
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