Inspection Report
Deficiencies: 27
Dec 18, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2023 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility had multiple Class 3 and Class 4 deficiencies primarily related to physical plant safety, medication management, staff training, records maintenance, and background screening compliance. The most recent inspections in 2022 and 2023 showed no deficiencies.
Complaint Details
Multiple complaint investigations from 2018 to 2020 with Class 3 and Class 4 deficiencies related to admissions criteria, medication management, physical plant safety, emergency environmental control, and background screening compliance.
Severity Breakdown
Class 3: 26
Class 4: 5
Deficiencies (27)
| Description | Severity |
|---|---|
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| AL241 — LMH - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 18
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
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