Inspection Report
Deficiencies: 12
Nov 21, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and complaint investigations.
Findings
Across multiple inspections, the facility had several Class 3 deficiencies primarily related to resident care, medication management, staffing, training, and emergency management. Some inspections reported no deficiencies.
Complaint Details
Multiple complaint investigations are present on the page, including complaint inspections dated 11/17/2023, 8/4/2022, 2/16/2022, 10/7/2019, 10/26/2017, 2/2/2017, 5/29/2015, 3/5/2015, and 1/5/2015, some with deficiencies cited.
Severity Breakdown
Class 3: 12
Deficiencies (12)
| Description | Severity |
|---|---|
| A0008 — ADMISSIONS - HEALTH ASSESSMENT: Failure to ensure residents were examined by licensed practitioners within required timeframes. | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION: Failure to notify licensed physician of changes in resident condition and provide adequate supervision. | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES: Failure to post Resident Bill of Rights and maintain grievance procedures. | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN: Failure to properly assist residents with self-administration of medication. | Class 3 |
| A0054 — MEDICATION - RECORDS: Failure to maintain proper medication records for residents. | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS: Failure to properly label and dispense medications according to regulations. | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF: Failure to ensure newly hired staff submitted required health statements. | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE: Failure to provide required preservice orientation training to new employees. | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS: Failure to provide required training on Do Not Resuscitate Orders to staff. | Class 3 |
| A0162 — RECORDS - RESIDENT: Failure to maintain complete resident records including demographic data and emergency contacts. | Class 3 |
| A0165 — RISK MGMT & QA: Failure to establish and maintain an internal risk management and quality assurance program. | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING: Failure to submit comprehensive emergency management plan and designate safety liaison. | Class 3 |
Report Facts
Inspections on page: 28
Inspection Report
Deficiencies: 3
Nov 21, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint and standard inspections showed deficiencies cited and later corrected, indicating ongoing regulatory oversight.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 24
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