Inspection Report
Complaint Investigation
Deficiencies: 21
Apr 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
Across multiple inspections, the facility had several Class 3 deficiencies primarily related to staff training, resident care procedures, medication assistance, and background screening compliance. Several complaint investigations found no deficiencies, while others cited training and procedural violations.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies found and others citing Class 3 deficiencies related to staff training, medication assistance, and resident care procedures.
Severity Breakdown
Class 3: 18
1: 1
Unclassified: 5
Deficiencies (21)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| CZ000 — INITIAL COMMENTS | — |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 1 |
| A0080 — TRAINING - CORE & COMPETENCY TEST | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Unclassified |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Report Facts
Inspections on page: 50
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections from 2012 to 2025, the facility had numerous inspections with many showing no deficiencies, while several inspections cited deficiencies and some showed corrected deficiencies. Deficiencies were noted in complaint, standard, monitor, and expansion inspections.
Report Facts
Inspections on page: 49
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