Inspection Report
Monitoring
Deficiencies: 27
Aug 6, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2024 with deficiency history and classifications.
Findings
The facility has multiple inspections including complaint, standard, monitoring, and expansion types with various deficiencies mostly classified as Class 3 and Class 4. Some inspections showed no deficiencies, while others cited issues related to staffing, training, medication management, physical plant safety, and resident care.
Complaint Details
Multiple complaint investigations are present spanning from 2013 through 2022 with various deficiencies cited including resident care, medication, training, and physical plant safety.
Severity Breakdown
Class 3: 27
Class 4: 6
1: 2
2: 1
Deficiencies (27)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 4 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 4 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| AZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0029 — RESIDENT CARE - NURSING SERVICES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
Report Facts
Inspections on page: 38
Inspection Report
Monitor
Deficiencies: 0
Aug 6, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2024 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous complaint, standard, and monitor inspections over more than a decade, with a mix of deficiencies cited, corrected, and some inspections showing no deficiencies.
Report Facts
Inspections on page: 56
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