Deficiencies per Year
40
30
20
10
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 16, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, standard, monitor, and change of ownership types with a mix of deficiencies cited, corrected, and some inspections with no deficiencies found.
Report Facts
Inspections on page: 56
Inspection Report
Routine
Deficiencies: 39
Jul 24, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history including complaint and standard inspections.
Findings
Across multiple inspections, the facility was cited primarily for Class 3 deficiencies related to medication assistance, resident care standards, staff training, records maintenance, and background screening compliance. Some Class 4 deficiencies were noted for background screening issues.
Complaint Details
Multiple complaint investigations cited deficiencies primarily related to resident care, staff training, records, and background screening from 2013 through 2025.
Severity Breakdown
Class 3: 44
Class 4: 4
Deficiencies (39)
| Description | Severity |
|---|---|
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| AE203 — ECC - STAFFING REQUIREMENTS | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | — |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0033 — PHYSICAL RESTRAINTS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| AE205 — ECC - HEALTH ASSESSMENT | Class 3 |
| AE208 — ECC - RECORDS | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0011 — ADMISSIONS - DISCHARGE | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW) | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 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 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0181 — EMERGENCY MGMT - PLAN APPROVAL | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
Report Facts
Inspections on page: 52
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