Inspection Report
Complaint Investigation
Deficiencies: 40
Feb 3, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple deficiencies across inspections primarily related to staffing standards, background screening, resident care, training, and medication management. Deficiencies range in severity from Class 2 to Class 4, with some inspections reporting no deficiencies.
Complaint Details
Multiple complaint investigations are present, including those dated 2025-02-03, 2022-03-22, 2020-12-14, 2019-11-19, 2019-08-20, 2019-06-28, 2018-07-18, 2017-12-20, 2014-04-02, 2012-12-20, 2012-10-25, 2014-04-02, and 2013-12-20.
Severity Breakdown
Class 3: 33
Class 4: 5
2: 7
Unclassified: 1
Deficiencies (40)
| Description | Severity |
|---|---|
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0009 — ADMISSIONS - ADMISSION PACKAGE | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | 2 |
| A0011 — ADMISSIONS - DISCHARGE | 2 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| AN277 — LNS - RESIDENT CARE STANDARDS | 2 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| AN278 — LNS - RECORDS | Class 4 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0087 — ALZHEIMER'S TRAINING - PROV & CURRICULUM APPR | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Report Facts
Inspections on page: 56
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 3, 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, standard, monitor, and expansion types with a mix of deficiencies cited, corrected, and no deficiencies found across the years.
Report Facts
Inspections on page: 56
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