Deficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Inspection Report
Complaint
Deficiencies: 1
Oct 1, 2025
Visit Reason
Deficiencies related to facility records were identified.
Findings
Deficiencies related to facility records were identified.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0160 — RECORDS - FACILITY | Class 3 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 1, 2025
Visit Reason
State-compiled facility profile showing 12 inspections from 2023-04-14 to 2025-10-01 with deficiency history.
Findings
Multiple inspections including initial licensure, complaint investigations, and standard inspections revealed a pattern of deficiencies cited and corrected over time, with the most recent inspections citing deficiencies.
Report Facts
Inspections on page: 12
Inspection Report
Complaint
Deficiencies: 6
Jul 15, 2025
Visit Reason
Multiple Class 3 deficiencies including admissions, infection control, medication, and reporting requirements.
Findings
Multiple Class 3 deficiencies including admissions, infection control, medication, and reporting requirements.
Severity Breakdown
Class 3: 4
Unclassified: 1
: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag ZZ000 — INITIAL COMMENTS | — |
| Tag ZZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Standard
Deficiencies: 7
May 1, 2025
Visit Reason
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training.
Findings
Numerous Class 3 deficiencies related to admissions, resident care, medication, staffing, and training.
Severity Breakdown
Class 3: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Oct 16, 2024
Visit Reason
Class 3 deficiency in admissions continued residency.
Findings
Class 3 deficiency in admissions continued residency.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
Inspection Report
Complaint
Deficiencies: 3
Aug 22, 2024
Visit Reason
Deficiencies in resident care supervision, elopement standards, and reporting requirements.
Findings
Deficiencies in resident care supervision, elopement standards, and reporting requirements.
Severity Breakdown
Class 3: 1
2: 1
Unclassified: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Complaint
Deficiencies: 3
Nov 1, 2023
Visit Reason
Deficiencies in resident care supervision, medication assistance, and background screening.
Findings
Deficiencies in resident care supervision, medication assistance, and background screening.
Severity Breakdown
Class 3: 2
Unclassified: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
Inspection Report
Deficiencies: 0
Apr 14, 2023
Visit Reason
Initial licensure with no deficiencies.
Findings
Initial licensure with no deficiencies.
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