Deficiencies per Year
20
15
10
5
0
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 22, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint investigations, standard, monitor, and expansion types with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the years.
Report Facts
Inspections on page: 41
Inspection Report
Complaint
Deficiencies: 1
Jan 22, 2025
Visit Reason
One Class 3 deficiency for RESIDENT CARE - SUPERVISION.
Findings
One Class 3 deficiency for RESIDENT CARE - SUPERVISION.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Complaint
Deficiencies: 3
Aug 29, 2024
Visit Reason
Three Class 3 deficiencies related to RESIDENT CARE - SUPERVISION, MEDICATION - ASSISTANCE WITH SELF-ADMIN, and MEDICATION - LABELING AND ORDERS.
Findings
Three Class 3 deficiencies related to RESIDENT CARE - SUPERVISION, MEDICATION - ASSISTANCE WITH SELF-ADMIN, and MEDICATION - LABELING AND ORDERS.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
Inspection Report
Deficiencies: 0
May 13, 2024
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 1
Feb 1, 2024
Visit Reason
One Class 3 deficiency for RESIDENT CARE - SUPERVISION.
Findings
One Class 3 deficiency for RESIDENT CARE - SUPERVISION.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Standard
Deficiencies: 9
Sep 19, 2023
Visit Reason
Multiple Class 3 and Unclassified deficiencies covering resident care, staffing, training, dietary standards, physical plant, records, and background screening.
Findings
Multiple Class 3 and Unclassified deficiencies covering resident care, staffing, training, dietary standards, physical plant, records, and background screening.
Severity Breakdown
Class 3: 8
Unclassified: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0080 — TRAINING - CORE & COMPETENCY TEST | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | 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 CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
Inspection Report
Complaint
Deficiencies: 2
Jul 17, 2023
Visit Reason
Two deficiencies: one severity 2 for RESIDENT CARE - RIGHTS & FACILITY PROCEDURES and one Unclassified for REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION.
Findings
Two deficiencies: one severity 2 for RESIDENT CARE - RIGHTS & FACILITY PROCEDURES and one Unclassified for REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION.
Severity Breakdown
2: 1
Unclassified: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Complaint
Deficiencies: 0
Feb 20, 2023
Visit Reason
No deficiencies noted.
Findings
No deficiencies noted.
Inspection Report
Complaint
Deficiencies: 11
Oct 31, 2022
Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, medication, training, physical plant, and reporting requirements.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, medication, training, physical plant, and reporting requirements.
Severity Breakdown
Class 3: 10
2: 1
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| Tag A0033 — PHYSICAL RESTRAINTS | Class 3 |
| Tag A0034 — ASSISTIVE DEVICES | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| Tag CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
Inspection Report
Standard
Deficiencies: 9
Sep 7, 2021
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to admissions, training, medication, records, and resident contracts.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, training, medication, records, and resident contracts.
Severity Breakdown
Class 3: 7
Class 4: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 4 |
| Tag A0167 — RESIDENT CONTRACTS | Class 4 |
Inspection Report
Expansion
Deficiencies: 10
Nov 12, 2020
Visit Reason
Multiple Class 3 and one Class 4 deficiency related to admissions, resident care, medication, training, records, and resident contracts.
Findings
Multiple Class 3 and one Class 4 deficiency related to admissions, resident care, medication, training, records, and resident contracts.
Severity Breakdown
Class 3: 9
Class 4: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag A0167 — RESIDENT CONTRACTS | Class 4 |
Inspection Report
Standard
Deficiencies: 11
Mar 10, 2020
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to medication, training, food service, records, and resident contracts.
Findings
Multiple Class 3 and Class 4 deficiencies related to medication, training, food service, records, and resident contracts.
Severity Breakdown
Class 3: 6
Class 4: 5
Deficiencies (11)
| Description | Severity |
|---|---|
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 4 |
| Tag A0167 — RESIDENT CONTRACTS | Class 4 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 4 |
Inspection Report
Complaint
Deficiencies: 4
Dec 23, 2019
Visit Reason
Three Class 3 deficiencies related to admissions, resident care, and training.
Findings
Three Class 3 deficiencies related to admissions, resident care, and training.
Severity Breakdown
Class 3: 3
1: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 1 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Inspection Report
Standard
Deficiencies: 17
Mar 7, 2018
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to emergency plan approval, admissions, resident care, medication, staffing, training, records, and resident contracts.
Findings
Multiple Class 3 and Class 4 deficiencies related to emergency plan approval, admissions, resident care, medication, staffing, training, records, and resident contracts.
Severity Breakdown
Class 3: 11
Class 4: 6
Deficiencies (17)
| Description | Severity |
|---|---|
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 4 |
| Tag A0167 — RESIDENT CONTRACTS | Class 4 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| Tag AN278 — LNS - RECORDS | Class 4 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Inspection Report
Deficiencies: 1
Jun 7, 2017
Visit Reason
One Class 4 deficiency for TRAINING - DOCUMENTATION & MONITORING.
Findings
One Class 4 deficiency for TRAINING - DOCUMENTATION & MONITORING.
Severity Breakdown
Class 4: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 4 |
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