Inspection Report
Standard
Deficiencies: 0
Sep 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and standard types, with findings ranging from no deficiencies to cited and corrected deficiencies across the years.
Report Facts
Inspections on page: 17
Inspection Report
Complaint Investigation
Deficiencies: 12
Jul 23, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2013 to 2025 including complaint investigations and standard surveys with deficiency history.
Findings
Across all inspections, the facility had multiple Class 3 and Class 4 deficiencies primarily related to staff training, background screening, and records. Some complaint investigations found no deficiencies, while others cited background screening violations.
Complaint Details
Multiple complaint investigations are present, some with no deficiencies cited and others citing background screening violations.
Severity Breakdown
Class 3: 10
Class 4: 2
Unclassified: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| ZZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
Report Facts
Inspections on page: 16
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