Deficiencies per Year
32
24
16
8
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Deficiencies: 29
Jun 5, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and enforcement details.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies related to resident care, medication management, physical plant safety, and record keeping. Some inspections showed no deficiencies, while complaint investigations consistently cited Class 3 deficiencies.
Complaint Details
Multiple complaint investigations from 2013 to 2016 cited Class 3 deficiencies related to medication labeling, pharmacy and dietary services, medication records, resident care supervision, arrangement for health care, assistance with self-administration of medication, staffing standards, food service responsibilities, and physical plant safety.
Severity Breakdown
Class 3: 29
Class 4: 1
Deficiencies (29)
| Description | Severity |
|---|---|
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| AL241 — LMH - RECORDS | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0027 — RESIDENT CARE - ARRANGEMENT FOR HEALTH CARE | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0079 — STAFFING STANDARDS - LEVELS | Class 3 |
| A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0126 — FISCAL - RESIDENT ACCOUNTING | Class 3 |
| A0167 — RESIDENT CONTRACTS | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 4 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0181 — EMERGENCY MGMT - PLAN APPROVAL | Class 3 |
| AL243 — LMH - TRAINING | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| AL242 — LMH - RESPONSIBILITIES OF FACILITY | Class 3 |
| AL243 — LMH - TRAINING | Class 3 |
Report Facts
Inspections on page: 34
Inspection Report
Deficiencies: 0
Jun 5, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
The inspections over the years show a mix of deficiency findings including cited deficiencies, corrected deficiencies, and several inspections with no deficiencies noted.
Report Facts
Inspections on page: 29
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