Deficiencies per Year
24
18
12
6
0
Moderate
Unclassified
Inspection Report
Complaint
Deficiencies: 0
Mar 20, 2025
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint Investigation
Deficiencies: 23
Mar 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2020 to 2025 with deficiency history and inspection statuses.
Findings
The facility underwent numerous inspections including complaint investigations, monitoring, and expansions with a mix of deficiency citations, corrections, and some inspections reporting no deficiencies.
Deficiencies (23)
| Description |
|---|
| Initial Licensure — No Deficiencies |
| Complaint — Deficiencies Cited |
| Monitor — Deficiencies Cited |
| Follow-up — Deficiencies Corrected |
| Complaint — Deficiencies Corrected |
| Complaint — Deficiencies Cited |
| Complaint — Deficiencies Corrected |
| Complaint — No Deficiencies |
| Expansion — Deficiencies Cited |
| Complaint — Deficiencies Cited |
| Expansion — Deficiencies Cited |
| Expansion — Deficiencies Corrected |
| Complaint — Deficiencies Corrected |
| Standard — Deficiencies Cited |
| Standard — Deficiencies Corrected |
| Complaint — Deficiencies Cited |
| Complaint — Deficiencies Corrected |
| Complaint — No Deficiencies |
| Standard — Deficiencies Cited |
| Standard — Deficiencies Cited |
| Standard — Deficiencies Corrected |
| Complaint — No Deficiencies |
| Complaint — No Deficiencies |
Report Facts
Inspections on page: 23
Inspection Report
Complaint
Deficiencies: 0
Dec 2, 2024
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Routine
Deficiencies: 4
Jul 1, 2024
Visit Reason
Multiple Class 3 deficiencies related to staffing standards and training.
Findings
Multiple Class 3 deficiencies related to staffing standards and training.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| Tag A0082 — TRAINING - HIV/AIDS | Class 3 |
| Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Inspection Report
Routine
Deficiencies: 1
May 9, 2024
Visit Reason
Class 3 deficiency related to staff records.
Findings
Class 3 deficiency related to staff records.
Severity Breakdown
Class 3: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0161 — RECORDS - STAFF | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Jun 1, 2023
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 2
Aug 26, 2022
Visit Reason
Class 3 deficiencies related to emergency plan approval and emergency environmental control.
Findings
Class 3 deficiencies related to emergency plan approval and emergency environmental control.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| Tag A0200 — EMERGENCY ENVIRONMENTAL CONTROL | Class 3 |
Inspection Report
Routine
Deficiencies: 2
Jun 13, 2022
Visit Reason
Class 3 deficiencies related to medication storage and disposal and staff training.
Findings
Class 3 deficiencies related to medication storage and disposal and staff training.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
Inspection Report
Complaint
Deficiencies: 4
Feb 1, 2022
Visit Reason
Class 3 deficiencies related to medication assistance, records, labeling, and facility records.
Findings
Class 3 deficiencies related to medication assistance, records, labeling, and facility records.
Severity Breakdown
Class 3: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN | Class 3 |
| Tag A0054 — MEDICATION - RECORDS | Class 3 |
| Tag A0056 — MEDICATION - LABELING AND ORDERS | Class 3 |
| Tag A0160 — RECORDS - FACILITY | Class 3 |
Inspection Report
Expansion
Deficiencies: 2
Dec 14, 2021
Visit Reason
Class 3 deficiencies related to first aid/CPR training and resident records.
Findings
Class 3 deficiencies related to first aid/CPR training and resident records.
Severity Breakdown
Class 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tag A0083 — TRAINING - FIRST AID AND CPR | Class 3 |
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
Inspection Report
Complaint
Deficiencies: 0
Dec 14, 2021
Visit Reason
No deficiencies noted during this complaint inspection.
Findings
No deficiencies noted during this complaint inspection.
Inspection Report
Complaint
Deficiencies: 1
Jun 11, 2021
Visit Reason
Severity 2 deficiency related to resident care rights and facility procedures.
Findings
Severity 2 deficiency related to resident care rights and facility procedures.
Severity Breakdown
2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | 2 |
Inspection Report
Monitor
Deficiencies: 3
Dec 22, 2020
Visit Reason
Class 3 deficiencies related to resident records and limited nursing services standards and staff training.
Findings
Class 3 deficiencies related to resident records and limited nursing services standards and staff training.
Severity Breakdown
Class 3: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Tag A0162 — RECORDS - RESIDENT | Class 3 |
| Tag AN277 — LNS - RESIDENT CARE STANDARDS | Class 3 |
| Tag A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
Inspection Report
Initial Licensure
Deficiencies: 0
Jun 19, 2020
Visit Reason
No deficiencies noted during initial licensure inspection.
Findings
No deficiencies noted during initial licensure inspection.
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