Deficiencies per Year
12
9
6
3
0
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 0
May 18, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2014 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections over the years with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies have been cited intermittently across complaint, standard, monitor, and other inspection types.
Report Facts
Inspections on page: 46
Inspection Report
Routine
Deficiencies: 4
Oct 31, 2024
Visit Reason
Deficiencies related to resident care, infection control, food service, and physical plant safety, all Class 3 severity.
Findings
Deficiencies related to resident care, infection control, food service, and physical plant safety, all Class 3 severity.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Inspection Report
Routine
Deficiencies: 1
Sep 19, 2022
Visit Reason
One Class 3 deficiency related to limited mental health training.
Findings
One Class 3 deficiency related to limited mental health training.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag AL243 — LMH - TRAINING | Class 3 |
Inspection Report
Routine
Deficiencies: 6
Feb 17, 2021
Visit Reason
Multiple Class 3 deficiencies and one Class 4 deficiency related to admissions, resident care, training, limited mental health records and training, and background screening.
Findings
Multiple Class 3 deficiencies and one Class 4 deficiency related to admissions, resident care, training, limited mental health records and training, and background screening.
Severity Breakdown
Class 3: 5
Class 4: 1
Unclassified: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 4 |
| Tag AL241 — LMH - RECORDS | Class 3 |
| Tag AL243 — LMH - TRAINING | Class 3 |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
Inspection Report
Complaint
Deficiencies: 3
Feb 5, 2020
Visit Reason
Class 3 and one '1' severity deficiencies related to admissions, resident care supervision, limited mental health records.
Findings
Class 3 and one '1' severity deficiencies related to admissions, resident care supervision, limited mental health records.
Severity Breakdown
Class 3: 2
1: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 1 |
| Tag AL241 — LMH - RECORDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 7
Aug 1, 2019
Visit Reason
Multiple Class 3 and one Class 4 deficiencies related to admissions, resident care, medication assistance, staffing, physical plant safety, and background screening.
Findings
Multiple Class 3 and one Class 4 deficiencies related to admissions, resident care, medication assistance, staffing, physical plant safety, and background screening.
Severity Breakdown
Class 3: 6
Class 4: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
Inspection Report
Standard
Deficiencies: 9
Aug 8, 2018
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care, training, medication, limited mental health training, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, training, medication, limited mental health training, and background screening.
Severity Breakdown
Class 3: 8
Class 4: 2
Deficiencies (9)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | 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 A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| Tag AL243 — LMH - TRAINING | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Jun 7, 2017
Visit Reason
Two Class 3 deficiencies related to admissions and physical plant safety.
Findings
Two Class 3 deficiencies related to admissions and physical plant safety.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Inspection Report
Standard
Deficiencies: 2
Oct 25, 2016
Visit Reason
Two Class 3 deficiencies related to resident care social activities and physical plant safety.
Findings
Two Class 3 deficiencies related to resident care social activities and physical plant safety.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Inspection Report
Monitor
Deficiencies: 3
Oct 1, 2015
Visit Reason
Three Class 3 deficiencies related to resident care third party services, medication storage and disposal, and physical plant safety.
Findings
Three Class 3 deficiencies related to resident care third party services, medication storage and disposal, and physical plant safety.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
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