Deficiencies per Year
80
60
40
20
0
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 1
Aug 26, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and correction status.
Findings
The facility has a history of deficiencies cited and corrected across numerous inspections spanning over a decade, with some inspections reporting no deficiencies.
Deficiencies (1)
| Description |
|---|
| Deficiencies cited or corrected as noted in Statements of Deficiencies across multiple inspections |
Report Facts
Inspections on page: 24
Inspection Report
Routine
Deficiencies: 56
Jun 24, 2024
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2012 to 2024 with deficiency history and enforcement classifications.
Findings
The facility has multiple deficiencies across inspections ranging from Class 3 to Class 4 violations, including staffing standards, training, resident care, emergency management, and medication management. Deficiencies span complaint and standard inspections over several years.
Complaint Details
Complaint inspections include findings related to resident care rights and facility procedures, supervision, and background screening violations.
Severity Breakdown
Class 2: 2
Class 3: 49
Class 4: 9
Unclassified: 5
Deficiencies (56)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 4 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 4 |
| A0080 — TRAINING - CORE & COMPETENCY TEST | Class 4 |
| A0161 — RECORDS - STAFF | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Unclassified |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | — |
| A0076 — DO NOT RESUSCITATE ORDERS (DNROS) | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 4 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0094 — FOOD SERVICE - FOOD HYGIENE | Class 4 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| CZ828 — ADMINISTRATIVE FINES; VIOLATIONS | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 2 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
Report Facts
Inspections on page: 38
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