The most recent inspection on October 24, 2025, identified multiple deficiencies related to admissions, resident care, records, and reporting requirements. Earlier inspections also noted recurring issues in resident care, staffing, records, medication management, and physical plant safety. Complaint investigations were not substantiated, and no fines or enforcement actions were listed in the available reports. The facility’s deficiencies have generally involved documentation, supervision, and regulatory compliance areas. The pattern of findings has remained fairly consistent over time without a clear trend of improvement or worsening.
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 standard, complaint, expansion, and monitoring types with a mix of deficiencies cited, corrected, and some inspections with no deficiencies noted.
Numerous Class 3 and unclassified deficiencies related to admissions, resident care, medication, staffing, training, records, background screening, and Alzheimer’s training.
Findings
Numerous Class 3 and unclassified deficiencies related to admissions, resident care, medication, staffing, training, records, background screening, and Alzheimer’s training.
Severity Breakdown
Class 3: 13Unclassified: 3
Deficiencies (16)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES
Class 3
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Class 3
Tag A0034 — ASSISTIVE DEVICES
Class 3
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0161 — RECORDS - STAFF
Class 3
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Unclassified
Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES
Unclassified
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, staffing, training, physical plant, resident contracts, LNS standards, and screening results.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, staffing, training, physical plant, resident contracts, LNS standards, and screening results.
Severity Breakdown
Class 3: 10Class 4: 2
Deficiencies (12)
Description
Severity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 3
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3
Tag A0167 — RESIDENT CONTRACTS
Class 4
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Class 3
Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, physical plant, resident contracts, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, medication, staffing, training, physical plant, resident contracts, and background screening.
Severity Breakdown
Class 3: 10Class 4: 3
Deficiencies (13)
Description
Severity
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Class 3
Tag A0086 — TRAINING - ADRD
Class 3
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Class 3
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Class 3
Tag A0167 — RESIDENT CONTRACTS
Class 4
Tag AZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Class 4
Tag AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES