Deficiencies per Year
80
60
40
20
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 0
Apr 14, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, standard, monitor, and expansion types with a mix of deficiencies cited, corrected, and no deficiencies found across the inspections.
Report Facts
Inspections on page: 26
Inspection Report
Deficiencies: 45
Apr 14, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had numerous Class 3 and Class 4 deficiencies primarily related to resident care, medication management, staff training, records maintenance, and background screening. Some inspections reported no deficiencies.
Complaint Details
Multiple complaint investigations are present, including those dated 2013, 2015, 2018, and 2019, with deficiencies cited primarily as Class 3 violations related to resident care, medication, and records.
Severity Breakdown
Class 3: 41
Class 4: 4
2: 2
Deficiencies (45)
| Description | Severity |
|---|---|
| CZ841 — IN-PERSON VISITATION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | 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 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0120 — FISCAL - FINANCIAL STABILITY | Class 3 |
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| AN276 — LNS - NURSING SERVICES | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Report Facts
Inspections on page: 38
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