Inspection Report
Complaint Investigation
Deficiencies: 17
Mar 12, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had several Class 3 and one Class 4 deficiencies primarily related to resident care standards, infection control, reporting requirements, staffing, training, and dietary standards. Several complaint investigations found no deficiencies.
Complaint Details
Multiple complaint investigations were conducted on 2025-03-12, 2024-05-08, 2023-10-12, 2022-12-15, 2021-12-06, 2021-02-12, 2019-10-08, 2019-03-18, 2018-10-31, 2018-05-23, 2017-11-13, 2012-12-06, 2013-07-03, 2013-03-08, 2014-10-22, 2018-10-31, 2019-10-08, 2024-03-12 with many showing no deficiencies.
Severity Breakdown
Class 3: 15
Class 4: 1
2: 1
Deficiencies (17)
| Description | Severity |
|---|---|
| A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| A0028 — RESIDENT CARE - ACTIVITIES OF DAILY LIVING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Report Facts
Inspections on page: 34
Deficiency classes: 17
Inspection Report
Complaint Investigation
Deficiencies: 3
Mar 12, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of deficiency statuses including cited, corrected, and no deficiencies. Several complaint investigations resulted in deficiencies cited or corrected, while many inspections found no deficiencies.
Deficiencies (3)
| Description |
|---|
| Deficiencies Corrected |
| No Deficiencies |
| Deficiencies Cited |
Report Facts
Inspections on page: 38
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