Deficiencies per Year
120
90
60
30
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 86
Sep 9, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 including complaint and standard inspections with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility has numerous deficiencies primarily classified as Class 3, with some Class 4 and Level 2 findings, covering resident care, supervision, training, records, medication management, staffing, and reporting requirements. Deficiencies span complaint and standard inspections over several years.
Complaint Details
Multiple complaint investigations are included, with deficiencies related to resident care, supervision, medication assistance, training, and reporting requirements.
Severity Breakdown
Class 3: 88
Class 4: 8
2: 5
Unclassified: 5
Deficiencies (86)
| Description | Severity |
|---|---|
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Unclassified |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 4 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| AZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 4 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 4 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 4 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
Report Facts
Inspections on page: 90
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 9, 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 initial licensure, standard, complaint, monitor, and expansion types. Deficiencies were cited, corrected, or not found across various inspections, with many complaint investigations resulting in cited deficiencies.
Report Facts
Inspections on page: 79
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