Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Routine
Deficiencies: 20
Sep 10, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2025 including standard, complaint, monitoring, and initial licensure inspections with deficiency history and enforcement data.
Findings
Across all inspections, the facility had multiple Class 3 deficiencies primarily related to admissions criteria, resident care, infection control, medication records, staff training, emergency management, and resident records. Several complaint investigations found no deficiencies, and the most recent inspections showed no deficiencies.
Complaint Details
Complaint investigations occurred on 7/26/2023, 8/5/2020, 4/21/2020, 6/19/2018, 3/26/2018, and 12/6/2017 with some resulting in Class 3 deficiencies primarily related to medication and pharmacy services; others found no deficiencies.
Severity Breakdown
Class 3: 20
Deficiencies (20)
| Description | Severity |
|---|---|
| A0007 — ADMISSIONS - CRITERIA | Class 3 |
| A0032 — RESIDENT CARE - ELOPEMENT STANDARDS | Class 3 |
| A0036 — INFECTION CONTROL PROCEDURES | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0082 — TRAINING - HIV/AIDS | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
Report Facts
Inspections on page: 22
Inspection Report
Deficiencies: 0
Sep 10, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2017 to 2025 with deficiency history and inspection statuses.
Findings
Across all inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, with no detailed deficiency descriptions or severity labels provided on this summary page.
Report Facts
Inspections on page: 17
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