The most recent inspection on October 9, 2024, was a complaint investigation that did not identify any deficiencies. Earlier inspections showed a mix of deficiencies primarily related to staff training, medication management, licensure, staffing, background screening, and emergency management planning. Inspectors cited issues such as incomplete staff in-service training, medication assistance, pharmacy and dietary compliance, and resident refund policies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and complaint investigations did not result in substantiated cases. The inspection history suggests some ongoing challenges with regulatory compliance, but recent findings indicate improvement with fewer or no deficiencies noted.
Deficiencies (last 2 years)
Deficiencies (over 2 years)5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
State-compiled facility profile showing multiple inspections from 2012 to 2024 with deficiency history and inspection statuses.
Findings
The facility has undergone numerous inspections including complaint, monitor, and standard types with a mix of deficiencies cited, corrected, and no deficiencies found across the years. Recent inspections mostly show no deficiencies or corrected deficiencies with some cited deficiencies persisting.
Multiple Class 3 and Unclassified deficiencies related to licensure, medication assistance, staffing, background screening, and emergency management planning were cited.
Findings
Multiple Class 3 and Unclassified deficiencies related to licensure, medication assistance, staffing, background screening, and emergency management planning were cited.
Severity Breakdown
Class 3: 4Unclassified: 1
Deficiencies (5)
Description
Severity
Tag A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW)
Class 3
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Class 3
Tag A0078 — STAFFING STANDARDS - STAFF
Class 3
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Several Class 3 and Unclassified deficiencies related to pharmacy, dietary, medication records, resident refund policy, and background screening clearinghouse were cited.
Findings
Several Class 3 and Unclassified deficiencies related to pharmacy, dietary, medication records, resident refund policy, and background screening clearinghouse were cited.
Severity Breakdown
Class 3: 3Unclassified: 1
Deficiencies (4)
Description
Severity
Tag A0058 — PHARMACY & DIETARY; UNCORRECTED DEFICIENCIES
Class 3
Tag A0054 — MEDICATION - RECORDS
Class 3
Tag A0170 — RESIDENT REFUND POLICY
Class 3
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE
Unclassified
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