Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 23, 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 complaint and monitoring inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies were cited in many complaint investigations and some standard inspections, while many monitoring inspections showed no deficiencies.
Report Facts
Inspections on page: 90
Inspection Report
Complaint Investigation
Deficiencies: 35
Sep 12, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
The facility has multiple Class 3 deficiencies across various inspections primarily related to medication management, records, physical plant safety, risk management, staffing, and training. Several complaint investigations and monitoring visits show recurring issues with documentation and resident care procedures.
Complaint Details
Multiple complaint investigations are documented, including those with deficiencies related to medication, records, physical plant safety, risk management, and staffing standards.
Severity Breakdown
Class 3: 38
1: 3
2: 3
Class 4: 2
Unclassified: 2
Deficiencies (35)
| Description | Severity |
|---|---|
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0004 — LICENSURE - REQUIREMENTS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | 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 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 1 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | 1 |
| A0079 — STAFFING STANDARDS - LEVELS | 1 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 2 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Report Facts
Inspections on page: 90
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