Inspection Report
Complaint Investigation
Deficiencies: 3
May 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint and standard types, with a mix of deficiencies cited, corrected, and no deficiencies found across the years. Recent inspections show some deficiencies cited and some corrected.
Deficiencies (3)
| Description |
|---|
| Deficiencies Cited |
| Deficiencies Corrected |
| No Deficiencies |
Report Facts
Inspections on page: 52
Inspection Report
Complaint Investigation
Deficiencies: 18
Mar 31, 2025
Visit Reason
State-compiled facility inspection summary page showing multiple inspections from 2014 to 2025 including complaint and standard inspections with deficiency history and enforcement details.
Findings
Across multiple inspections, the facility had several Class 3 and Class 4 deficiencies primarily related to medication management, staff training, emergency management planning, background screening, and record keeping. Most deficiencies were corrected by specified correction dates.
Complaint Details
Multiple complaint investigations are present from 2014 through 2025, with deficiencies cited primarily in complaint inspections related to emergency management, medication assistance, staff training, background screening, and resident records.
Severity Breakdown
Class 3: 18
Class 4: 2
Deficiencies (18)
| Description | Severity |
|---|---|
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| A0054 — MEDICATION - RECORDS | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 3 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT | Class 3 |
| A0162 — RECORDS - RESIDENT | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
| A0091 — TRAINING - DOCUMENTATION & MONITORING | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER | Class 3 |
| A0160 — RECORDS - FACILITY | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
Report Facts
Inspections on page: 44
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