Inspection Report
Complaint Investigation
Deficiencies: 22
Jun 6, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and enforcement details.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to medication management, staff training, records maintenance, and emergency planning. Several complaint investigations found no deficiencies, while others cited issues requiring correction.
Complaint Details
Multiple complaint investigations conducted between 2019 and 2025, some with no deficiencies found and others citing Class 3 deficiencies related to medication, training, and records.
Severity Breakdown
Class 3: 21
Unclassified: 3
Deficiencies (22)
| Description | Severity |
|---|---|
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| AE206 — ECC - SERVICE PLANS | Class 3 |
| AE210 — ECC - TRAINING | Class 3 |
| CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0088 — ALZHEIMER'S/OTHER DISORDERS - DISCLOSURES | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| AE207 — ECC - SERVICES | Class 3 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
Report Facts
Inspections on page: 34
Plan of correction dates: 21
Inspection Report
Complaint
Deficiencies: 0
Jun 6, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
Across multiple inspections from 2018 through 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, with several complaint investigations resulting in cited deficiencies.
Report Facts
Inspections on page: 33
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