Inspection Report
Complaint Investigation
Deficiencies: 23
Sep 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement findings.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to staffing standards, training, fiscal management, medication assistance, and record keeping. Several complaint investigations found no deficiencies.
Complaint Details
Complaint inspections on 2025-09-04, 2021-09-14, 2019-11-04, and 2013-12-04 found no deficiencies.
Severity Breakdown
Class 3: 24
Unclassified: 1
Deficiencies (23)
| Description | Severity |
|---|---|
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0123 — FISCAL - RESIDENT TRUST FUNDS | Class 3 |
| A0125 — FISCAL - SURETY BONDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
Report Facts
Inspections on page: 33
Plan of correction dates: 10
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 4, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several inspections reported deficiencies while others found none or noted corrections.
Report Facts
Inspections on page: 26
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