Deficiencies per Year
8
6
4
2
0
Moderate
Unclassified
Inspection Report
Complaint
Deficiencies: 0
Jun 6, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
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
Inspection Report
Complaint
Deficiencies: 0
Feb 28, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Nov 25, 2024
Visit Reason
One Class 3 deficiency related to medication records.
Findings
One Class 3 deficiency related to medication records.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
Inspection Report
Annual Inspection
Deficiencies: 5
May 13, 2024
Visit Reason
Multiple Class 3 deficiencies related to medication labeling, training, service plans, and Alzheimer’s training.
Findings
Multiple Class 3 deficiencies related to medication labeling, training, service plans, and Alzheimer’s training.
Severity Breakdown
Class 3: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0080 — TRAINING - CORE & COMPETENCY TEST | Class 3 |
| Tag AE206 — ECC - SERVICE PLANS | Class 3 |
| Tag AE210 — ECC - TRAINING | Class 3 |
| Tag CZ875 — ALZHEIMER DISEASE/DEMENTIA; TRAINING | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Jan 30, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Deficiencies: 0
Sep 7, 2023
Visit Reason
No deficiencies noted during expansion and complaint inspections.
Findings
No deficiencies noted during expansion and complaint inspections.
Inspection Report
Complaint
Deficiencies: 4
Jan 3, 2023
Visit Reason
Multiple Class 3 deficiencies related to admissions, medication assistance, staff training, and one unclassified background screening deficiency.
Findings
Multiple Class 3 deficiencies related to admissions, medication assistance, staff training, and one unclassified background screening deficiency.
Severity Breakdown
Class 3: 3
Unclassified: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
Inspection Report
Annual Inspection
Deficiencies: 8
Jul 28, 2022
Visit Reason
Multiple Class 3 and Unclassified deficiencies related to training, records, emergency plan, extended congregate care services, and background screening.
Findings
Multiple Class 3 and Unclassified deficiencies related to training, records, emergency plan, extended congregate care services, and background screening.
Severity Breakdown
Class 3: 6
Unclassified: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| Tag A0088 — ALZHEIMER'S/OTHER DISORDERS - DISCLOSURES | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag AE207 — ECC - SERVICES | Class 3 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Unclassified |
| Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
Inspection Report
Complaint
Deficiencies: 1
Oct 25, 2021
Visit Reason
One Class 3 deficiency related to admissions health assessment.
Findings
One Class 3 deficiency related to admissions health assessment.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Sep 8, 2021
Visit Reason
Multiple Class 3 deficiencies related to dietary standards and records.
Findings
Multiple Class 3 deficiencies related to dietary standards and records.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
Inspection Report
Complaint
Deficiencies: 8
Aug 22, 2019
Visit Reason
Multiple Class 3 deficiencies related to medication administration, records, pharmacy, training, and assistance with self-administration.
Findings
Multiple Class 3 deficiencies related to medication administration, records, pharmacy, training, and assistance with self-administration.
Severity Breakdown
Class 3: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
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