The most recent inspection on March 5, 2025, had no deficiencies noted. Earlier inspections showed a mix of deficiency citations primarily related to resident care rights, medication labeling and orders, staff training, and emergency environmental controls. There were no fines, immediate jeopardy findings, license suspensions, or enforcement actions listed in the available reports. Complaint investigations were conducted but were unsubstantiated or did not result in deficiencies. The inspection history indicates improvement, with recent inspections consistently free of deficiencies after prior issues.
Deficiencies (last 9 years)
Deficiencies (over 9 years)3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2013 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of deficiency citations, corrections, and no deficiencies found. The most recent inspections show no deficiencies cited.
Multiple deficiencies including admissions, resident care supervision, medication records, emergency environmental control, and background screening with Class 3 and Class 4 severities.
Findings
Multiple deficiencies including admissions, resident care supervision, medication records, emergency environmental control, and background screening with Class 3 and Class 4 severities.
Severity Breakdown
Class 3: 2Class 4: 32: 1
Deficiencies (6)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
2
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL
Class 4
Tag CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE
Class 4
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Class 4
Inspection Report Deficiencies: 1Dec 5, 2018
Visit Reason
Deficiency related to emergency environmental control with Class 3 severity.
Findings
Deficiency related to emergency environmental control with Class 3 severity.
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care rights, staff training, do not resuscitate orders, training documentation, records penalties, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care rights, staff training, do not resuscitate orders, training documentation, records penalties, and background screening.
Severity Breakdown
Class 3: 6Class 4: 2
Deficiencies (8)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0082 — TRAINING - HIV/AIDS
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Class 4
Tag A0163 — RECORDS - RESIDENT, PENALTIES FOR ALTERATION
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care supervision, medication labeling, staffing standards, reporting requirements, and unlicensed activity.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care supervision, medication labeling, staffing standards, reporting requirements, and unlicensed activity.
Severity Breakdown
Class 3: 4Class 4: 12: 1
Deficiencies (6)
Description
Severity
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Class 3
Tag A0025 — RESIDENT CARE - SUPERVISION
2
Tag A0056 — MEDICATION - LABELING AND ORDERS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag AZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
Class 4
Tag AZ827 — UNLICENSED ACTIVITY
Class 3
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