Deficiencies per Year
36
27
18
9
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 33
Nov 14, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2023 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to medication management, staffing standards, training, records, and emergency preparedness. Several complaint investigations found no deficiencies, and some inspections had no deficiencies cited.
Complaint Details
Multiple complaint investigations are listed, many with no deficiencies found. Some complaints resulted in Class 3 deficiencies related to medication, training, risk management, and resident care.
Severity Breakdown
Class 3: 38
Class 4: 2
Unclassified: 3
Deficiencies (33)
| Description | Severity |
|---|---|
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| AE208 — ECC - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
Report Facts
Inspections on page: 61
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 14, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2023 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and monitoring types with a mix of deficiencies cited, corrected, and some inspections with no deficiencies noted over the years.
Report Facts
Inspections on page: 63
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