Inspection Report
Deficiencies: 28
Nov 13, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had multiple deficiencies primarily classified as Class 3 and Class 4, with many related to admissions, medication management, staffing, training, and background screening. Several complaint investigations and monitoring visits found no deficiencies.
Complaint Details
Multiple complaint investigations are included from 2012 through 2022, many with no deficiencies cited, but some with Class 3 and Class 4 deficiencies related to admissions, resident care, medication, and background screening.
Severity Breakdown
Class 3: 27
Class 4: 5
Deficiencies (28)
| Description | Severity |
|---|---|
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| AE200 — ECC - LICENSING | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 40
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 13, 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. The most recent inspection in 2024 showed no deficiencies.
Report Facts
Inspections on page: 44
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