Inspection Report
Complaint Investigation
Deficiencies: 9
May 20, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple complaint and standard inspections from 2012 to 2025 with deficiency history.
Findings
Across multiple inspections, the facility had several Class 3 deficiencies primarily related to medication management, emergency planning, admissions health assessment, and staffing standards. Many inspections reported no deficiencies.
Complaint Details
Multiple complaint investigations are present, including those dated 2025-05-20, 2025-04-08, 2024-11-21, 2024-04-15, 2023-06-26, 2021-10-25, 2020-08-27, 2020-06-22, 2020-03-30, 2018-10-24, 2018-02-22, 2017-08-24, 2017-04-14, 2016-03-02, 2016-01-07, 2014-01-15, 2013-06-07, and 2012-11-28.
Severity Breakdown
Class 3: 11
Deficiencies (9)
| Description | Severity |
|---|---|
| CZ819 — MINIMUM LICENSURE REQ - FINANCIAL VIABILITY | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
Report Facts
Inspections on page: 29
Deficiency count: 11
Inspection Report
Complaint Investigation
Deficiencies: 3
May 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous complaint and standard inspections over more than a decade, with findings ranging from deficiencies cited, corrected, to no deficiencies found. The most recent inspections in 2025 cited deficiencies.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 41
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