Inspection Report
Complaint Investigation
Deficiencies: 34
Jul 16, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2025 including complaint and standard inspections 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, staffing standards, training, medication management, emergency planning, and background screening compliance. Several complaint investigations found no deficiencies, while others cited Class 3 violations.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies cited and others with Class 3 deficiencies related to resident care, medication, staffing, and training.
Severity Breakdown
Class 3: 33
Class 4: 4
2: 2
Deficiencies (34)
| Description | Severity |
|---|---|
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | 2 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0051 — MEDICATION - PILL ORGANIZERS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0088 — ALZHEIMER'S/OTHER DISORDERS - DISCLOSURES | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
Report Facts
Inspections on page: 34
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 16, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The inspections over the years show a mix of deficiency statuses including cited, corrected, and no deficiencies, with several complaint and standard inspections conducted.
Report Facts
Inspections on page: 46
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