Inspection Report
Routine
Deficiencies: 32
May 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had numerous Class 3 and some Class 4 deficiencies primarily related to resident care, staffing, training, emergency planning, and background screening compliance. Several complaint investigations resulted in deficiencies, while recent inspections showed no deficiencies.
Complaint Details
Multiple complaint investigations from 2012 through 2023 resulted in deficiencies primarily related to resident care, staffing, and records compliance.
Severity Breakdown
Class 3: 31
Class 4: 3
1: 1
2: 2
Deficiencies (32)
| Description | Severity |
|---|---|
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 1 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
Report Facts
Inspections on page: 43
Inspection Report
Deficiencies: 0
May 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The inspections over the years show a mix of deficiency statuses including cited, corrected, and no deficiencies across complaint and standard inspections. The most recent inspections report no deficiencies.
Report Facts
Inspections on page: 53
Loading inspection reports...
