Inspection Report
Monitoring
Deficiencies: 10
Jul 25, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency and enforcement history.
Findings
Across multiple inspections, the facility had several Class 3 deficiencies primarily related to medication management, staffing standards, resident contracts, and training. Some inspections reported no deficiencies, including the most recent monitoring visit.
Complaint Details
Complaint inspection dated 2020-12-22 included a Class 3 deficiency related to Risk Management and QA adverse incident reporting.
Severity Breakdown
Class 3: 10
Unclassified: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Report Facts
Inspections on page: 18
Inspection Report
Monitor
Deficiencies: 0
Jul 25, 2025
Visit Reason
State-compiled facility profile showing 14 inspections from 2013 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had multiple inspections with no deficiencies, some with deficiencies cited, and others with deficiencies corrected. The most recent inspection in 2025 showed no deficiencies.
Report Facts
Inspections on page: 14
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