Deficiencies per Year
12
9
6
3
0
Moderate
Low
Inspection Report
Deficiencies: 0
Dec 18, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2023 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, complaints, monitoring, expansion, and standard inspections. Deficiencies were cited in several inspections, with some later corrected, and several inspections found no deficiencies.
Report Facts
Inspections on page: 19
Inspection Report
Standard
Deficiencies: 0
Dec 18, 2023
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No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Monitor
Deficiencies: 0
Sep 23, 2022
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No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Standard
Deficiencies: 0
Jan 25, 2022
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No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Complaint
Deficiencies: 1
Nov 30, 2020
Visit Reason
One Class 3 deficiency related to physical plant safe living environment.
Findings
One Class 3 deficiency related to physical plant safe living environment.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Oct 7, 2020
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Three Class 3 deficiencies related to training, resident contracts, and medication management.
Findings
Three Class 3 deficiencies related to training, resident contracts, and medication management.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0167 — RESIDENT CONTRACTS | Class 3 |
Inspection Report
Complaint
Deficiencies: 5
Feb 19, 2020
Visit Reason
Six Class 3 deficiencies related to admissions, medication, physical plant, and emergency environmental control.
Findings
Six Class 3 deficiencies related to admissions, medication, physical plant, and emergency environmental control.
Severity Breakdown
Class 3: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Standard
Deficiencies: 11
Oct 22, 2019
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to staffing, training, physical plant, emergency plan, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to staffing, training, physical plant, emergency plan, and background screening.
Severity Breakdown
Class 3: 9
Class 4: 2
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag AL241 — LMH - RECORDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Monitor
Deficiencies: 1
Oct 4, 2018
Visit Reason
One Class 3 deficiency related to facility records.
Findings
One Class 3 deficiency related to facility records.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0160 — RECORDS - FACILITY | Class 3 |
Inspection Report
Complaint
Deficiencies: 9
Jun 4, 2018
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, training, physical plant, records, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care, medication, training, physical plant, records, and background screening.
Severity Breakdown
Class 3: 7
Class 4: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Initial Licensure
Deficiencies: 0
Oct 23, 2017
Visit Reason
No deficiencies noted during initial licensure inspection.
Findings
No deficiencies noted during initial licensure inspection.
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