Deficiencies per Year
12
9
6
3
0
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 14, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, standard, and complaint investigations with a mix of deficiencies cited, corrected, and some inspections with no deficiencies.
Report Facts
Inspections on page: 18
Inspection Report
Complaint
Deficiencies: 2
Feb 4, 2025
Visit Reason
Deficiencies related to admissions and resident care supervision with Class 3 and 2 severity levels.
Findings
Deficiencies related to admissions and resident care supervision with Class 3 and 2 severity levels.
Severity Breakdown
Class 3: 1
2: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
Inspection Report
Complaint
Deficiencies: 1
Nov 4, 2024
Visit Reason
Medication assistance deficiency with Class 3 severity.
Findings
Medication assistance deficiency with Class 3 severity.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Inspection Report
Complaint
Deficiencies: 11
Sep 20, 2024
Visit Reason
Multiple deficiencies related to resident care, staffing, training, and emergency management mostly Class 3 and some level 1.
Findings
Multiple deficiencies related to resident care, staffing, training, and emergency management mostly Class 3 and some level 1.
Severity Breakdown
Class 3: 8
1: 3
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 1 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 1 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0077 — STAFFING STANDARDS - ADMINISTRATORS | 1 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 3 |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| Tag CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
Inspection Report
Standard
Deficiencies: 10
Dec 11, 2023
Visit Reason
Deficiencies related to resident care supervision, staffing, training, records, and background screening with mostly Class 3 and some Unclassified severity.
Findings
Deficiencies related to resident care supervision, staffing, training, records, and background screening with mostly Class 3 and some Unclassified severity.
Severity Breakdown
Class 3: 5
2: 1
Unclassified: 4
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Unclassified |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Standard
Deficiencies: 8
Dec 15, 2021
Visit Reason
Multiple Class 3 and one Class 4 deficiencies related to admissions, training, food service, records, and emergency management.
Findings
Multiple Class 3 and one Class 4 deficiencies related to admissions, training, food service, records, and emergency management.
Severity Breakdown
Class 3: 7
Class 4: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
May 12, 2021
Visit Reason
Single Class 3 deficiency related to staffing standards.
Findings
Single Class 3 deficiency related to staffing standards.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
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