Inspection Report
Complaint Investigation
Deficiencies: 29
Sep 2, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2018 to 2025 including complaint investigations, monitoring visits, and initial licensure with deficiency history and enforcement data.
Findings
The facility has multiple Class 3 deficiencies across various inspections primarily related to resident care, supervision, emergency management, physical plant safety, and records. No Class 4 deficiencies except one related to background screening. Several inspections found no deficiencies.
Complaint Details
Multiple complaint investigations are documented, including deficiencies related to resident care supervision, background screening, physical plant safety, and reporting requirements.
Severity Breakdown
Class 3: 27
Class 4: 1
2: 2
Unclassified: 1
Deficiencies (29)
| Description | Severity |
|---|---|
| ZZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Class 3 |
| ZZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
| AN278 — LNS - RECORDS | Class 3 |
| CZ841 — IN-PERSON VISITATION | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | 2 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| CZ821 — REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION | Unclassified |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| CZ813 — RESULTS OF SCREENING & NOTIFICATION IN FILE | Class 4 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
Report Facts
Inspections on page: 34
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 2, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including initial licensure, monitoring, expansion, standard, and complaint investigations with a mix of no deficiencies, deficiencies cited, and deficiencies corrected across the inspections.
Report Facts
Inspections on page: 31
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