Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Standard
Deficiencies: 0
May 28, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, standard, and initial licensure types with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the inspections.
Report Facts
Inspections on page: 15
Inspection Report
Deficiencies: 9
Apr 3, 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 several Class 3 deficiencies related to training, resident care, reporting requirements, and dietary standards. Some complaint investigations found no deficiencies, while others cited issues in supervision and risk management.
Complaint Details
Complaint investigations occurred on 2021-01-25, 2021-11-04, 2020-03-18, 2020-02-25, and 2019-06-18 with some findings of deficiencies and some with none.
Severity Breakdown
Class 3: 8
2: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0168 — RESIDENT REFUND POLICY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| A0031 — RESIDENT CARE - THIRD PARTY SERVICES | Class 3 |
Report Facts
Inspections on page: 14
Plan of correction dates: 8
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