Inspection Report
Monitoring
Deficiencies: 18
Jun 13, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to staffing standards, training, risk management, and resident care procedures. Several inspections showed no deficiencies, and complaint investigations also resulted in Class 3 findings.
Complaint Details
Complaint investigations on 8/3/2023, 7/20/2021, 11/18/2014, 12/2/2015, 10/22/2013, 8/15/2013, and 11/18/2014 included Class 3 and Level 2 deficiencies related to risk management, staffing levels, supervision, and training.
Severity Breakdown
Class 3: 16
2: 2
Deficiencies (18)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| CZ000 — INITIAL COMMENTS | — |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0079 — STAFFING STANDARDS - LEVELS | 2 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Report Facts
Inspections on page: 34
Plan of correction counts: 18
Inspection Report
Standard
Deficiencies: 0
Jun 13, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of deficiency findings including cited deficiencies, corrected deficiencies, and many inspections with no deficiencies noted.
Report Facts
Inspections on page: 30
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