Inspection Report
Complaint Investigation
Deficiencies: 13
Apr 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility had multiple Class 3 and Class 4 deficiencies primarily related to emergency management planning, staff training, resident care rights, medication storage, background screening, and staffing standards. Several complaint investigations found no deficiencies, while others cited significant regulatory violations.
Complaint Details
Multiple complaint investigations were conducted between 2019 and 2025, some resulting in no deficiencies and others citing Class 3 and Class 4 violations related to emergency management, resident care, medication storage, and background screening.
Severity Breakdown
Class 3: 11
Class 4: 2
Deficiencies (13)
| Description | Severity |
|---|---|
| CZ830 — EMERGENCY MANAGEMENT PLANNING | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE | Class 3 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES | Class 3 |
| A1300 — VISITATION | Class 3 |
| A0181 — EMERGENCY PLAN APPROVAL | Class 3 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT | Class 3 |
| A0025 — RESIDENT CARE - SUPERVISION | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL | Class 3 |
| A0161 — RECORDS - STAFF | Class 3 |
| CZ814 — BACKGROUND SCREENING CLEARINGHOUSE | Class 4 |
| CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION | Class 4 |
| A0078 — STAFFING STANDARDS - STAFF | Class 3 |
| A0090 — TRAINING - DO NOT RESUSCITATE ORDERS | Class 3 |
Report Facts
Inspections on page: 29
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 7, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2016 to 2025 with deficiency history and inspection statuses.
Findings
Across multiple inspections from 2016 to 2025, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected, with several complaint investigations citing deficiencies.
Report Facts
Inspections on page: 31
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