Deficiencies per Year
36
27
18
9
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 0
Dec 19, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint and standard inspections cited deficiencies, while many monitor inspections found no deficiencies.
Report Facts
Inspections on page: 29
Inspection Report
Routine
Deficiencies: 33
Sep 21, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2022 with deficiency history and classifications.
Findings
The facility underwent numerous inspections including standard, complaint, and monitoring types between 2012 and 2022. Deficiencies were cited across various areas such as medication management, staffing, training, background screening, and records, with severity classifications ranging from Class 3 to Class 4.
Complaint Details
Complaint inspections were conducted on 2019-10-09, 2016-04-20, 2016-02-18, and 2014-02-25 with deficiencies noted including background screening and medication administration issues.
Severity Breakdown
Class 3: 30
Class 4: 3
2: 1
Deficiencies (33)
| Description | Severity |
|---|---|
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | 2 |
| A0161 — RECORDS - STAFF | Class 3 |
| AZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0029 — RESIDENT CARE - NURSING SERVICES | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Report Facts
Inspections on page: 38
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