Inspection Report
Deficiencies: 43
Oct 7, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2014 to 2025 including standard, complaint, monitor, and change of ownership inspections with deficiency history and enforcement classes.
Findings
Across all inspections, the facility had multiple Class 3 and some Class 4 deficiencies primarily related to resident care supervision, staff training, medication management, records maintenance, and emergency preparedness. Some complaint investigations resulted in Class 3 deficiencies, and a monitoring inspection cited a Class 3 deficiency for emergency environmental control.
Complaint Details
Complaint investigations conducted on 4/3/2023, 9/29/2021, 10/25/2018, 10/4/2016, and 10/4/2016 with deficiencies related to resident care supervision, staffing standards, medication management, and admissions health assessments.
Severity Breakdown
Class 3: 38
Class 4: 5
2: 1
Deficiencies (43)
| Description | Severity |
|---|---|
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 4 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0053 — MEDICATION - ADMINISTRATION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0080 — TRAINING - CORE & COMPETENCY TEST | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| A0162 — RECORDS - RESIDENT | Class 3 |
Report Facts
Inspections on page: 38
Inspection Report
Routine
Deficiencies: 0
Oct 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2014 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of deficiencies cited, corrected, and some inspections with no deficiencies. The most recent inspections show no deficiencies cited.
Report Facts
Inspections on page: 20
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