Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 27, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had periods with no deficiencies as well as multiple inspections citing and correcting deficiencies. The most recent inspections include both cited and corrected deficiencies, indicating ongoing regulatory oversight.
Report Facts
Inspections on page: 27
Inspection Report
Complaint Investigation
Deficiencies: 20
Sep 8, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
The inspections reveal multiple medication-related deficiencies, staffing and training issues, and record-keeping problems across complaint and standard inspections over several years. Severity levels range from Class 3 to Class 4 violations.
Complaint Details
Multiple complaint investigations are present, including those dated 2025-09-08, 2025-01-28, 2024-07-09, 2024-05-09, 2021-01-11, 2020-08-11, 2015-09-21, 2013-11-05, 2013-08-08, 2012-09-24, and 2012-08-10.
Severity Breakdown
Class 3: 17
Class 4: 2
2: 1
Unclassified: 1
Deficiencies (20)
| Description | Severity |
|---|---|
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | 2 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 4 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
Report Facts
Inspections on page: 34
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