Inspection Report
Complaint
Deficiencies: 0
Oct 9, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections from 2018 to 2025, the facility had multiple complaint and standard inspections with a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Several complaint investigations resulted in cited deficiencies, while many inspections found no deficiencies.
Report Facts
Inspections on page: 33
Inspection Report
Routine
Deficiencies: 26
Aug 21, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and complaint investigations.
Findings
The facility has multiple Class 3 deficiencies primarily related to admissions, training, medication management, and emergency planning across various inspections. Several complaint investigations found no deficiencies, while others cited repeated issues in admissions and staff training.
Complaint Details
Multiple complaint investigations are included, some with no deficiencies found and others citing Class 3 deficiencies related to admissions, staffing, and training.
Severity Breakdown
Class 3: 26
2: 1
Unclassified: 1
Deficiencies (26)
| Description | Severity |
|---|---|
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Unclassified |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Report Facts
Inspections on page: 38
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