Inspection Report
Complaint Investigation
Deficiencies: 28
Jun 19, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 including complaint investigations, standard inspections, and monitoring visits with deficiency history and enforcement actions.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to resident care, medication management, training, staffing, and records. Several complaint investigations identified supervision and medication assistance issues, with some Class 4 deficiencies related to training documentation and background screening.
Complaint Details
Multiple complaint investigations were conducted between 2018 and 2025, identifying deficiencies primarily related to resident care supervision, medication assistance, and training compliance.
Severity Breakdown
Class 3: 33
Class 4: 5
2: 2
Unclassified: 1
Deficiencies (28)
| Description | Severity |
|---|---|
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
Report Facts
Inspections on page: 44
Date range of inspections: Earliest inspection 2016-06-09, most recent 2025-06-19
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 19, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous inspections primarily for complaints, with many inspections citing deficiencies, some corrected, and several with no deficiencies noted. The most recent inspections show no deficiencies.
Report Facts
Inspections on page: 52
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