Deficiencies per Year
12
9
6
3
0
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 14, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint investigations, monitoring, and initial licensure with a mix of deficiencies cited, corrected, and some inspections with no deficiencies noted.
Report Facts
Inspections on page: 39
Inspection Report
Complaint
Deficiencies: 1
Apr 10, 2025
Visit Reason
No deficiencies noted for this complaint inspection.
Findings
No deficiencies noted for this complaint inspection.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag None — None | None |
Inspection Report
Complaint
Deficiencies: 10
Feb 11, 2025
Visit Reason
Multiple Class 3 and Class 2 deficiencies related to resident care, staffing, training, records, and reporting requirements.
Findings
Multiple Class 3 and Class 2 deficiencies related to resident care, staffing, training, records, and reporting requirements.
Severity Breakdown
Class 3: 9
2: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
Inspection Report
Complaint
Deficiencies: 6
Oct 17, 2024
Visit Reason
Multiple Class 3 and one Unclassified deficiencies related to resident care, training, and reporting requirements.
Findings
Multiple Class 3 and one Unclassified deficiencies related to resident care, training, and reporting requirements.
Severity Breakdown
Class 3: 5
2: 1
Unclassified: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
Inspection Report
Monitor
Deficiencies: 1
Aug 8, 2024
Visit Reason
No deficiencies noted for this monitor inspection.
Findings
No deficiencies noted for this monitor inspection.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag None — None | None |
Inspection Report
Complaint
Deficiencies: 1
Apr 6, 2023
Visit Reason
Class 3 deficiency related to resident care rights and facility procedures.
Findings
Class 3 deficiency related to resident care rights and facility procedures.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
Inspection Report
Standard
Deficiencies: 10
Apr 4, 2023
Visit Reason
Multiple Class 3 deficiencies related to admissions, resident care, staffing, training, food service, and records.
Findings
Multiple Class 3 deficiencies related to admissions, resident care, staffing, training, food service, and records.
Severity Breakdown
Class 3: 9
Unclassified: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0161 — RECORDS - STAFF | Class 3 |
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
| Tag CZ841 — IN-PERSON VISITATION | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Oct 31, 2022
Visit Reason
Class 3 deficiency related to resident care supervision.
Findings
Class 3 deficiency related to resident care supervision.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Jun 30, 2022
Visit Reason
Unclassified deficiency related to background screening clearinghouse.
Findings
Unclassified deficiency related to background screening clearinghouse.
Severity Breakdown
Unclassified: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Unclassified |
Inspection Report
Complaint
Deficiencies: 2
Feb 7, 2022
Visit Reason
Class 3 deficiencies related to admissions and resident care supervision.
Findings
Class 3 deficiencies related to admissions and resident care supervision.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
Inspection Report
Standard
Deficiencies: 3
Apr 21, 2021
Visit Reason
Class 3 deficiencies related to staff training and food service dietary standards.
Findings
Class 3 deficiencies related to staff training and food service dietary standards.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Feb 25, 2021
Visit Reason
Class 2 deficiency related to resident care supervision.
Findings
Class 2 deficiency related to resident care supervision.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
Inspection Report
Complaint
Deficiencies: 2
Jul 27, 2020
Visit Reason
Class 3 deficiencies related to resident care rights and medication records.
Findings
Class 3 deficiencies related to resident care rights and medication records.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
Sep 24, 2019
Visit Reason
Class 3 deficiency related to medication storage and disposal.
Findings
Class 3 deficiency related to medication storage and disposal.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Aug 5, 2019
Visit Reason
Class 3 deficiencies related to admissions health assessment and elopement standards.
Findings
Class 3 deficiencies related to admissions health assessment and elopement standards.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
Inspection Report
Complaint
Deficiencies: 1
May 9, 2019
Visit Reason
No deficiencies noted for this complaint inspection.
Findings
No deficiencies noted for this complaint inspection.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag None — None | None |
Inspection Report
Standard
Deficiencies: 8
Oct 2, 2018
Visit Reason
Multiple Class 3 and Class 2 deficiencies related to resident care, training, records, and emergency environmental control.
Findings
Multiple Class 3 and Class 2 deficiencies related to resident care, training, records, and emergency environmental control.
Severity Breakdown
Class 3: 7
2: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| Tag A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Complaint
Deficiencies: 2
Mar 27, 2018
Visit Reason
Class 3 and Class 4 deficiencies related to records and reporting requirements.
Findings
Class 3 and Class 4 deficiencies related to records and reporting requirements.
Severity Breakdown
Class 3: 1
Class 4: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0160 — RECORDS - FACILITY | Class 3 |
| Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 4 |
Inspection Report
Complaint
Deficiencies: 4
Feb 2, 2018
Visit Reason
Class 3 deficiencies related to admissions criteria, continued residency, resident care supervision, and food service dietary standards.
Findings
Class 3 deficiencies related to admissions criteria, continued residency, resident care supervision, and food service dietary standards.
Severity Breakdown
Class 3: 2
2: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0007 — ADMISSIONS - CRITERIA | Class 3 |
| Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| Tag A0025 — RESIDENT CARE - SUPERVISION | 2 |
| Tag A0093 — FOOD SERVICE - DIETARY STANDARDS | 2 |
Inspection Report
Monitor
Deficiencies: 3
Nov 27, 2017
Visit Reason
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening prohibited offenses.
Findings
Class 3 and Class 4 deficiencies related to staffing standards, training, and background screening prohibited offenses.
Severity Breakdown
Class 3: 2
Class 4: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0086 — TRAINING - ADRD | Class 3 |
| Tag CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES | Class 4 |
Inspection Report
Deficiencies: 1
Nov 17, 2016
Visit Reason
No deficiencies noted for this initial licensure inspection.
Findings
No deficiencies noted for this initial licensure inspection.
Severity Breakdown
None: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag None — None | None |
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