Inspection Report
Routine
Deficiencies: 23
May 5, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across multiple inspections, the facility had numerous Class 3 deficiencies primarily related to medication management, staff training, resident care, and records. Several complaint investigations resulted in citations, but recent inspections in 2024 and 2025 showed no deficiencies.
Complaint Details
Multiple complaint investigations are documented, with citations primarily for Class 3 deficiencies related to medication, training, resident care, and records. Some complaints resulted in correction dates, indicating plans of correction were submitted.
Severity Breakdown
Class 3: 22
Class 4: 1
2: 1
Deficiencies (23)
| Description | Severity |
|---|---|
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0034 — ASSISTIVE DEVICES | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0165 — RISK MGMT & QA | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0086 — TRAINING - ADRD | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | 2 |
| A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT | Class 3 |
Report Facts
Inspections on page: 61
Inspection Report
Complaint Investigation
Deficiencies: 0
May 5, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across numerous inspections from 2012 through 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, primarily related to complaint investigations and standard inspections.
Report Facts
Inspections on page: 74
Loading inspection reports...
