The most recent inspection on February 25, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to resident care supervision, staffing, training, records, and emergency management planning. Complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior reports noted recurring issues with admissions, infection control, and reporting requirements as well. The facility’s inspection history indicates improvement, with the latest inspection showing no cited deficiencies after several reports with various issues.
Deficiencies (last 9 years)
Deficiencies (over 9 years)7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2015 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of no deficiencies, cited deficiencies, and corrected deficiencies. Deficiencies were cited in many complaint and standard inspections, with some later corrected. The most recent inspection found no deficiencies.
Multiple Class 3 and Unclassified deficiencies related to admissions, infection control, staffing, training, records, and reporting requirements were found.
Findings
Multiple Class 3 and Unclassified deficiencies related to admissions, infection control, staffing, training, records, and reporting requirements were found.
Severity Breakdown
Class 3: 10Unclassified: 3
Deficiencies (13)
Description
Severity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 3
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
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 A0083 — TRAINING - FIRST AID AND CPR
Class 3
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Class 3
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Class 3
Tag A0160 — RECORDS - FACILITY
Class 3
Tag A0161 — RECORDS - STAFF
Class 3
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Unclassified
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Unclassified
Tag CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION
Deficiency related to resident care supervision was identified.
Findings
Deficiency related to resident care supervision was identified.
Severity Breakdown
2: 1
Deficiencies (1)
Description
Severity
Tag A0025 — RESIDENT CARE - SUPERVISION
2
Inspection Report Change Of OwnershipDeficiencies: 12Jan 27, 2020
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care supervision, medication records, staffing, training, and records were identified.
Findings
Multiple Class 3 and Class 4 deficiencies related to admissions, resident care supervision, medication records, staffing, training, and records were identified.
Severity Breakdown
Class 3: 10Class 4: 2
Deficiencies (12)
Description
Severity
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Class 4
Tag A0025 — RESIDENT CARE - SUPERVISION
Class 3
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag A0080 — TRAINING - CORE & COMPETENCY TEST
Class 3
Tag A0081 — TRAINING - STAFF IN-SERVICE
Class 3
Tag A0082 — TRAINING - HIV/AIDS
Class 3
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT