Inspection Report
Complaint Investigation
Deficiencies: 7
Aug 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement data.
Findings
Across all inspections, the facility had several deficiencies primarily related to resident care supervision, background screening, emergency management planning, and medication assistance. Some deficiencies were classified as Class 3 or Class 4, indicating moderate to severe issues, while multiple inspections reported no deficiencies.
Complaint Details
Complaint investigations occurred on 2025-08-07, 2021-04-05, and 2020-08-04 with findings including background screening and emergency management planning deficiencies.
Severity Breakdown
2: 1
Unclassified: 1
Class 3: 4
Class 4: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| A0025 — RESIDENT CARE - SUPERVISION: Facility failed to notify a licensed physician within 30 days after acknowledgment of dementia or cognitive impairment signs. | 2 |
| CZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES: Failure to conduct required Level 2 background screening for employees. | Unclassified |
| CZ830 — EMERGENCY MANAGEMENT PLANNING: Failure to designate a safety liaison and maintain an approved emergency operations plan. | Class 3 |
| A0029 — RESIDENT CARE - NURSING SERVICES: Deficiencies in nursing services including supervision and documentation. | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN: Deficiencies in assistance with self-administration of medication. | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS: Deficiencies in staff training regarding DNRO policies and procedures. | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES: Failure to conduct required Level 2 background screening for employees. | Class 4 |
Report Facts
Inspections on page: 13
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 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. The most recent inspections in 2025 showed no deficiencies.
Report Facts
Inspections on page: 14
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