Inspection Report
Complaint Investigation
Deficiencies: 21
Sep 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and enforcement classifications.
Findings
The facility has multiple complaint investigations primarily citing Class 3 deficiencies related to medication management, resident care, records, and staff training across several years. Some inspections showed no deficiencies, and initial licensure and standard inspections were also recorded.
Complaint Details
Multiple complaint investigations from 2013 through 2025 with deficiencies primarily related to medication, resident care, records, and staff training.
Severity Breakdown
Class 3: 21
Class 4: 1
Unclassified: 2
Deficiencies (21)
| Description | Severity |
|---|---|
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | — |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Report Facts
Inspections on page: 44
Inspection Report
Complaint Investigation
Deficiencies: 3
Sep 23, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2013 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 deficiencies, some of which were later corrected. The most recent inspections in 2025 include cited and corrected deficiencies.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 38
Pages per inspection: 17
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